Lingual epilepsia partialis continua in neurocysticercosis. (3rd January 2017)

• Record Type: Journal Article
• Authors: Sureshbabu, Sachin; Nayak, Dinesh; Mittal, Gaurav; Peter, Sudhir; Sobhana, Chindripu; Aggarwal, Vikash
• Is Part Of: Neurology. Volume 88:Number 1(2017)
• Page Start: 108
• Page End: 109
• Publication Date: 2017-01-03
• Subjects: Neurology -- Periodicals; Neurology -- Periodicals; Neurologie -- Périodiques; 616.8
• DOI: 10.1212/WNL.0000000000003460
• Languages: English
• ISSNs: 0028-3878

Abstract

Abstract : A 60-year-old woman presented with focal clonic movements of her face and abnormal movements of her tongue for 5 months. An MRI revealed a ring enhancing lesion, suggestive of a cysticercal granuloma (figure 1). The patient was started on oxcarbazepine, which produced temporary control, with recurrence of jerky movements of her tongue lasting several minutes with frequent recurrence (videos 1 and 2 atNeurology.org ). EEG did not show focal abnormalities (figure 2). The episodes were aborted by levetiracetam, 1 g/d, and escalation of oxcarbazepine dose to 900 mg/d. Lingual epilepsia partialis continua occurs in Rasmussen encephalitis and herpes simplex encephalitis, but neurocysticercosis is an unusual cause. 1, 2