We report a new case of infantile idiopathic hemiconvulsion-hemiplegia syndrome (HH). A prolonged right-sided febrile convulsion was followed 4 days later, by right hemiconvulsive status epilepticus, documented by video-electroencephalogram (EEG) recording. The child developed an ipsilateral hemiplegia, partially improved during the first month of follow-up. Sequential cerebral magnetic resonance imaging (MRI) and proton magnetic resonance spectroscopy (1H-MRS) at 6, 15, 30 days of follow-up showed a cytotoxic edema in the left hemisphere and a subsequent necrosis. At 1-year of follow-up, we performed MRI control because of febrile convulsion lasting few minutes that confirmed a non-progressive left hemisphere atrophy. After 2 years, the patient was seizure-free, with a mild right hemiplegia and language skills deficit. We discuss the unclear pathogenesis of HH through sequential neuroradiological evaluation

Franzoni E, Garone C, Marchiani V, Brunetto D, Tonon C, Lodi R, et al. (2010). A new case of idiopathic hemiplegia hemiconvulsion syndrome. NEUROLOGICAL SCIENCES, 31, 799-805 [10.1007/s10072-010-0286-5].

A new case of idiopathic hemiplegia hemiconvulsion syndrome

FRANZONI, EMILIO;GARONE, CATERINA;MARCHIANI, VALENTINA;TONON, CATERINA;LODI, RAFFAELE;BERNARDI, BRUNO
2010

Abstract

We report a new case of infantile idiopathic hemiconvulsion-hemiplegia syndrome (HH). A prolonged right-sided febrile convulsion was followed 4 days later, by right hemiconvulsive status epilepticus, documented by video-electroencephalogram (EEG) recording. The child developed an ipsilateral hemiplegia, partially improved during the first month of follow-up. Sequential cerebral magnetic resonance imaging (MRI) and proton magnetic resonance spectroscopy (1H-MRS) at 6, 15, 30 days of follow-up showed a cytotoxic edema in the left hemisphere and a subsequent necrosis. At 1-year of follow-up, we performed MRI control because of febrile convulsion lasting few minutes that confirmed a non-progressive left hemisphere atrophy. After 2 years, the patient was seizure-free, with a mild right hemiplegia and language skills deficit. We discuss the unclear pathogenesis of HH through sequential neuroradiological evaluation
2010
Franzoni E, Garone C, Marchiani V, Brunetto D, Tonon C, Lodi R, et al. (2010). A new case of idiopathic hemiplegia hemiconvulsion syndrome. NEUROLOGICAL SCIENCES, 31, 799-805 [10.1007/s10072-010-0286-5].
Franzoni E; Garone C; Marchiani V; Brunetto D; Tonon C; Lodi R; Bernardi B
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11585/96175
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