RESUMO
We describe a 59-year-old man, suffering from a left-sided weakness, who was diagnosed with a right frontal oligodendroglioma. One month after a craniotomy, he complained of perioral numbness and slurred speech, which lasted about an hour. Neurological examination discovered dysarthric speech and repetitive, rhythmic myoclonic jerks of the tongue and the lower lip. We suggest this lingual myoclonus was an epileptic phenomenon associated with brain tumour.
Assuntos
Neoplasias Encefálicas/complicações , Epilepsia/etiologia , Lobo Frontal/patologia , Mioclonia/etiologia , Oligodendroglioma/complicações , Distúrbios da Fala/etiologia , Língua , Neoplasias Encefálicas/patologia , Neoplasias Encefálicas/cirurgia , Diagnóstico Diferencial , Epilepsia/diagnóstico , Epilepsia/fisiopatologia , Lobo Frontal/cirurgia , Humanos , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Mioclonia/diagnóstico , Mioclonia/fisiopatologia , Oligodendroglioma/patologia , Oligodendroglioma/cirurgia , Distúrbios da Fala/diagnóstico , Distúrbios da Fala/fisiopatologia , Língua/fisiopatologiaRESUMO
A 20-year-old woman with subacute sclerosing panencephalitis, bedridden because of dystonic posturing and very frequent myoclonic involuntary movements, improved dramatically with carbamazepine. The favorable effect of the carbamazepine on myoclonus was demonstrated by discontinuing and reintroducing carbamazepine, and videoing the consequent reappearance and disappearance of the myoclonus. [Published with video sequences].
