A new case of idiopathic hemiplegia hemiconvulsion syndrome

Emilio Franzoni, Caterina Garone, Valentina Marchiani, Daniela Brunetto, Caterina Tonon, Raffaele Lodi, Bruno Bernardi

Research output: Contribution to journalArticle

4 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)799-805
Number of pages7
JournalNeurological Sciences
Volume31
Issue number6
DOIs
Publication statusPublished - Dec 2010

Fingerprint

Hemiplegia
Febrile Seizures
Magnetic Resonance Imaging
Video Recording
Status Epilepticus
Atrophy
Electroencephalography
Edema
Seizures
Necrosis
Language
Proton Magnetic Resonance Spectroscopy

Keywords

  • Epilepsy
  • Hemiplegia hemiconvulsion
  • MRI
  • Proton MR spectroscopy

ASJC Scopus subject areas

  • Clinical Neurology
  • Psychiatry and Mental health
  • Dermatology

Cite this

Franzoni, E., Garone, C., Marchiani, V., Brunetto, D., Tonon, C., Lodi, R., & Bernardi, B. (2010). A new case of idiopathic hemiplegia hemiconvulsion syndrome. Neurological Sciences, 31(6), 799-805. https://doi.org/10.1007/s10072-010-0286-5

A new case of idiopathic hemiplegia hemiconvulsion syndrome. / Franzoni, Emilio; Garone, Caterina; Marchiani, Valentina; Brunetto, Daniela; Tonon, Caterina; Lodi, Raffaele; Bernardi, Bruno.

In: Neurological Sciences, Vol. 31, No. 6, 12.2010, p. 799-805.

Research output: Contribution to journalArticle

Franzoni, E, Garone, C, Marchiani, V, Brunetto, D, Tonon, C, Lodi, R & Bernardi, B 2010, 'A new case of idiopathic hemiplegia hemiconvulsion syndrome', Neurological Sciences, vol. 31, no. 6, pp. 799-805. https://doi.org/10.1007/s10072-010-0286-5
Franzoni E, Garone C, Marchiani V, Brunetto D, Tonon C, Lodi R et al. A new case of idiopathic hemiplegia hemiconvulsion syndrome. Neurological Sciences. 2010 Dec;31(6):799-805. https://doi.org/10.1007/s10072-010-0286-5
Franzoni, Emilio ; Garone, Caterina ; Marchiani, Valentina ; Brunetto, Daniela ; Tonon, Caterina ; Lodi, Raffaele ; Bernardi, Bruno. / A new case of idiopathic hemiplegia hemiconvulsion syndrome. In: Neurological Sciences. 2010 ; Vol. 31, No. 6. pp. 799-805.
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