-
- Fukumizu Michio
- Division of Child Neurology, National Center Hospital for Mental, Nervous and Muscular Discorders
-
- Kurokawa Toru
- Division of Child Neurology, National Center Hospital for Mental, Nervous and Muscular Discorders
-
- Yoshikawa Hideto
- Division of Child Neurology, National Center Hospital for Mental, Nervous and Muscular Discorders
-
- Hanaoka Shigeru
- Division of Child Neurology, National Center Hospital for Mental, Nervous and Muscular Discorders
Bibliographic Information
- Other Title
-
- 自動症を伴う非定型的Ｗｅｓｔ症候群の１例
Search this article
Description
A seven-month-old girl with atypical West syndrome with pedaling automatism was reported. She started to have early infantile epileptic encephalopathy with suppression-burst (EIEE) at age 14 days followed by infantile spasms at 3 months of age. She began to have spasms with automatism at 4 month, mainly consisting of pedaling movements of both feet associated with tonic spasms of upper extremities and writhing of trunk. Ictal EEG showed irregular slow waves with occasional spikes predominantly over the right hemisphere mixed with artifacts. Interictal EEG during sleep showed suppression-burst patterns. Cerebral atrophy and microcephaly were revealed on brain CT, immature myelination on MRI and decreased blood flow in the frontal, temporal, and parietal lobes on the right on PET scan. Pedaling automatism is rare in infancy and its clinical significance was discussed in relation to West syndrome and complex partial seizures.
Journal
-
- NO TO HATATSU
-
NO TO HATATSU 23 (6), 617-622, 1991
THE JAPANESE SOCIETY OF CHILD NEUROLOGY