[Supplementary motor area epilepsy associated with ADHD in an abused history].
No To Hattatsu
; 32(5): 435-9, 2000 Sep.
Article
em Ja
| MEDLINE
| ID: mdl-11004839
ABSTRACT
A 6-year-old girl with attention-deficit hyperactivity disorder (ADHD) who had been abused by her mother in infancy developed supplementary motor area (SMA) epilepsy. The seizure was characterized by bilateral tonic seizure of the upper and lower extremities, speech arrest, preserved consciousness and a lack of postictal confusion. The duration of the seizure was usually 10-60 seconds. The seizures sometimes clustered. She was diagnosed as having SMA epilepsy based on the characteristic clinical symptoms, interictal EEG, ictal video-EEG and ictal SPECT. Though her seizure was initially improved by anti-epileptic drugs, the symptoms appeared again after discharge. Since her clinical course indicated that her seizure was aggravated by her mental state, treatment included both medication with anti-epileptic drugs and the adjustment of her living environment in cooperation with a child guidance clinic. Thereafter both her epileptic seizure and ADHD symptoms improved. These changes may be related to each other, because both conditions are associated with frontal lobe dysfunction. It was interesting that the adjustment of the environment improved frontal lobe epilepsy, which in turn ameliorated ADHD symptoms.
Buscar no Google
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Transtorno do Deficit de Atenção com Hiperatividade
/
Maus-Tratos Infantis
/
Epilepsia do Lobo Frontal
Tipo de estudo:
Guideline
/
Risk_factors_studies
Limite:
Child
/
Female
/
Humans
Idioma:
Ja
Revista:
No To Hattatsu
Ano de publicação:
2000
Tipo de documento:
Article