Intermittent Falls and Fecal Incontinence as a Manifestation of Epileptic Negative Myoclonus in Idiopathic Partial Epilepsy of Childhood
We report two children, suffering from idiopathic partial epilepsy, who started to present, in the same period of time, with epileptic negative myoclonus (ENM) in one lower limb and fecal incontinence (FI). Polygraphic recordings showed that ENM was associated with paroxysmal activities distributed...
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| Veröffentlicht in: | Neuropediatrics 2000-12, Vol.31 (5), p.273-275 |
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| creator | Capovilla, G. Rubboli, G. Beccaria, Francesca Meregalli, Stefania Veggiotti, P. Giambelli, M. P. Meletti, S. Tassinari, C. A. |
| description | We report two children, suffering from idiopathic partial epilepsy, who started to present, in the same period of time, with epileptic negative myoclonus (ENM) in one lower limb and fecal incontinence (FI). Polygraphic recordings showed that ENM was associated with paroxysmal activities distributed over the vertex region. Both ENM and FI disappeared when ethosuximide treatment was started. We hypothesize that, in our patients, ENM in one lower limb and FI depended on a transitory impairment, caused by epileptic activity that altered the functionality of nearby cortical areas, located in fronto-mesial regions, involved in the control of the muscular tone of the lower limbs and of the pelvic floor muscles. |
| doi_str_mv | 10.1055/s-2000-9237 |
| format | Article |
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We hypothesize that, in our patients, ENM in one lower limb and FI depended on a transitory impairment, caused by epileptic activity that altered the functionality of nearby cortical areas, located in fronto-mesial regions, involved in the control of the muscular tone of the lower limbs and of the pelvic floor muscles.</description><identifier>ISSN: 0174-304X</identifier><identifier>EISSN: 1439-1899</identifier><identifier>DOI: 10.1055/s-2000-9237</identifier><identifier>PMID: 11204286</identifier><identifier>CODEN: NRPDDB</identifier><language>eng</language><publisher>Stuttgart: Thieme</publisher><subject>Accidental Falls ; Anticonvulsants - therapeutic use ; Biological and medical sciences ; Child ; Child, Preschool ; Electroencephalography ; Epilepsies, Myoclonic - complications ; Epilepsies, Myoclonic - diagnosis ; Epilepsies, Myoclonic - drug therapy ; Epilepsy, Partial, Motor - complications ; Epilepsy, Partial, Motor - diagnosis ; Epilepsy, Partial, Motor - drug therapy ; Ethosuximide - therapeutic use ; Fecal Incontinence - etiology ; Female ; Gait Disorders, Neurologic - etiology ; Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. 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P.</creatorcontrib><creatorcontrib>Meletti, S.</creatorcontrib><creatorcontrib>Tassinari, C. A.</creatorcontrib><title>Intermittent Falls and Fecal Incontinence as a Manifestation of Epileptic Negative Myoclonus in Idiopathic Partial Epilepsy of Childhood</title><title>Neuropediatrics</title><addtitle>Neuropediatrics</addtitle><description>We report two children, suffering from idiopathic partial epilepsy, who started to present, in the same period of time, with epileptic negative myoclonus (ENM) in one lower limb and fecal incontinence (FI). Polygraphic recordings showed that ENM was associated with paroxysmal activities distributed over the vertex region. Both ENM and FI disappeared when ethosuximide treatment was started. We hypothesize that, in our patients, ENM in one lower limb and FI depended on a transitory impairment, caused by epileptic activity that altered the functionality of nearby cortical areas, located in fronto-mesial regions, involved in the control of the muscular tone of the lower limbs and of the pelvic floor muscles.</description><subject>Accidental Falls</subject><subject>Anticonvulsants - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Electroencephalography</subject><subject>Epilepsies, Myoclonic - complications</subject><subject>Epilepsies, Myoclonic - diagnosis</subject><subject>Epilepsies, Myoclonic - drug therapy</subject><subject>Epilepsy, Partial, Motor - complications</subject><subject>Epilepsy, Partial, Motor - diagnosis</subject><subject>Epilepsy, Partial, Motor - drug therapy</subject><subject>Ethosuximide - therapeutic use</subject><subject>Fecal Incontinence - etiology</subject><subject>Female</subject><subject>Gait Disorders, Neurologic - etiology</subject><subject>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Short Communication</subject><subject>Treatment Outcome</subject><issn>0174-304X</issn><issn>1439-1899</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0UFrFDEUB_AgFrutnrxLQPCgTH2ZSSaZY1m6daG1HhS8DZkk46ZkkjHJCPsN_Nhm2UUvQk8Pkt97Ie-P0GsCVwQY-5iqGgCqrm74M7QitOkqIrruOVoB4bRqgH4_RxcpPQIQ2kH7Ap0TUgOtRbtCv7c-mzjZnI3PeCOdS1h6jTdGSYe3XgWfrTdeGSzLDb6X3o4mZZlt8DiM-Ga2zszZKvzZ_Cinvwy-3wflgl8Sth5vtQ2zzLsCvsiYbZl6bEn7Q_t6Z53ehaBforNRumReneol-ra5-br-VN093G7X13eVopTlqmOjVpoy0RI2MEFHNQyKMgDJFWk6IYZBS80Vo4IOZS2koUJz2Y4NHyiUconeHefOMfxcyk_6ySZlnJPehCX1vC6tLbRPwhpaQhnnBX44QhVDStGM_RztJOO-J9AfEuoPGKA_JFT0m9PYZZiM_mdPkRTw9gRkKhmMUXpl018naMtYXdT7oyqbNZPpH8MSfdnbf9_8A8p5psc</recordid><startdate>20001201</startdate><enddate>20001201</enddate><creator>Capovilla, G.</creator><creator>Rubboli, G.</creator><creator>Beccaria, Francesca</creator><creator>Meregalli, Stefania</creator><creator>Veggiotti, P.</creator><creator>Giambelli, M. P.</creator><creator>Meletti, S.</creator><creator>Tassinari, C. A.</creator><general>Thieme</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7X8</scope></search><sort><creationdate>20001201</creationdate><title>Intermittent Falls and Fecal Incontinence as a Manifestation of Epileptic Negative Myoclonus in Idiopathic Partial Epilepsy of Childhood</title><author>Capovilla, G. ; Rubboli, G. ; Beccaria, Francesca ; Meregalli, Stefania ; Veggiotti, P. ; Giambelli, M. P. ; Meletti, S. ; Tassinari, C. A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c445t-95fdcd458615b584fcbbc4500a7c13988bbdad7c5484b0001348d7a6f37b406f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Accidental Falls</topic><topic>Anticonvulsants - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Electroencephalography</topic><topic>Epilepsies, Myoclonic - complications</topic><topic>Epilepsies, Myoclonic - diagnosis</topic><topic>Epilepsies, Myoclonic - drug therapy</topic><topic>Epilepsy, Partial, Motor - complications</topic><topic>Epilepsy, Partial, Motor - diagnosis</topic><topic>Epilepsy, Partial, Motor - drug therapy</topic><topic>Ethosuximide - therapeutic use</topic><topic>Fecal Incontinence - etiology</topic><topic>Female</topic><topic>Gait Disorders, Neurologic - etiology</topic><topic>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Short Communication</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Capovilla, G.</creatorcontrib><creatorcontrib>Rubboli, G.</creatorcontrib><creatorcontrib>Beccaria, Francesca</creatorcontrib><creatorcontrib>Meregalli, Stefania</creatorcontrib><creatorcontrib>Veggiotti, P.</creatorcontrib><creatorcontrib>Giambelli, M. P.</creatorcontrib><creatorcontrib>Meletti, S.</creatorcontrib><creatorcontrib>Tassinari, C. 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A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intermittent Falls and Fecal Incontinence as a Manifestation of Epileptic Negative Myoclonus in Idiopathic Partial Epilepsy of Childhood</atitle><jtitle>Neuropediatrics</jtitle><addtitle>Neuropediatrics</addtitle><date>2000-12-01</date><risdate>2000</risdate><volume>31</volume><issue>5</issue><spage>273</spage><epage>275</epage><pages>273-275</pages><issn>0174-304X</issn><eissn>1439-1899</eissn><coden>NRPDDB</coden><abstract>We report two children, suffering from idiopathic partial epilepsy, who started to present, in the same period of time, with epileptic negative myoclonus (ENM) in one lower limb and fecal incontinence (FI). Polygraphic recordings showed that ENM was associated with paroxysmal activities distributed over the vertex region. Both ENM and FI disappeared when ethosuximide treatment was started. We hypothesize that, in our patients, ENM in one lower limb and FI depended on a transitory impairment, caused by epileptic activity that altered the functionality of nearby cortical areas, located in fronto-mesial regions, involved in the control of the muscular tone of the lower limbs and of the pelvic floor muscles.</abstract><cop>Stuttgart</cop><pub>Thieme</pub><pmid>11204286</pmid><doi>10.1055/s-2000-9237</doi><tpages>3</tpages></addata></record> |
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| subjects | Accidental Falls Anticonvulsants - therapeutic use Biological and medical sciences Child Child, Preschool Electroencephalography Epilepsies, Myoclonic - complications Epilepsies, Myoclonic - diagnosis Epilepsies, Myoclonic - drug therapy Epilepsy, Partial, Motor - complications Epilepsy, Partial, Motor - diagnosis Epilepsy, Partial, Motor - drug therapy Ethosuximide - therapeutic use Fecal Incontinence - etiology Female Gait Disorders, Neurologic - etiology Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy Humans Male Medical sciences Nervous system (semeiology, syndromes) Neurology Short Communication Treatment Outcome |
| title | Intermittent Falls and Fecal Incontinence as a Manifestation of Epileptic Negative Myoclonus in Idiopathic Partial Epilepsy of Childhood |
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