Benign myoclonus of early infancy or Fejerman syndrome: Letters/Commentary

Epilepsia (Impact Factor: 4.57). 06/2009; 50(5):1290-2. DOI: 10.1111/j.1528-1167.2009.02154.x
Source: PubMed
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    ABSTRACT: ‘Non-epileptic seizures’ or ‘non-epileptic paroxysmal disorders’ are the currently preferred descriptive names for the common and numerous, diverse paroxysmal clinical events that mimic or look like but are not epileptic seizures.1–3
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    ABSTRACT: Developmental and benign movement disorders are a group of movement disorders with onset in the neonatal period, infancy, or childhood. They are characterized by the absence of associated neurological manifestations and by their favorable outcome, although developmental abnormalities can be occasionally observed. Knowledge of the clinical, neurophysiological, and pathogenetic aspects of these disorders is poor. Based on a comprehensive review of the literature and our practical experience, this article summarizes current knowledge in this area. We pay special attention to the recognition and management of these movement disorders in children. © 2010 Movement Disorder Society
    Movement Disorders 07/2010; 25(10):1317 - 1334. DOI:10.1002/mds.22944 · 5.68 Impact Factor
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    ABSTRACT: Non-epileptic attacks represent a heterogeneous group of clinical entities which frequently pose a challenge for the differential diagnosis of epilepsy. This is particularly the case when motor manifestations are the main clinical features. For the large majority of patients, such motor manifestations have a benign course. A correct diagnosis is important to avoid inappropriate investigations, unnecessary therapy, and parental anxiety. Here, a previously unreported form of non-epileptic attacks with infantile onset is described which is different from all subtypes of Fejerman syndrome and does not appear to be uncommon. Our series includes 23 patients with an age at onset of the paroxysmal events ranging from 3 to 8 months. The characteristic feature is side-to-side shaking movements of the trunk and limbs. Surprisingly, urinary infection is often a false diagnosis. Home video recording is particularly helpful in recognising the nature of these episodes once their existence is known. [Published with video sequences].
    Epileptic disorders: international epilepsy journal with videotape 06/2011; 13(2):140-4. DOI:10.1684/epd.2011.0435 · 0.95 Impact Factor
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