Lateralized, nonepileptic convulsions in an adult with cerebral palsy: Case report and review of the literature
The authors report a case of unilateral functional neurological symptoms (nonepileptic convulsions) in a 38-year-old man with mild, motor-predominant cerebral palsy. His convulsions are all lateralized to the same side as his paretic limbs. His episodes significantly decreased after several months o...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Elsevier
2015-01-01
|
Series: | Epilepsy and Behavior Case Reports |
Subjects: | |
Online Access: | http://www.sciencedirect.com/science/article/pii/S2213323214000061 |
_version_ | 1811264500499742720 |
---|---|
author | Seth Gale Laura Safar Jeffrey Robbins Kirk Daffner |
author_facet | Seth Gale Laura Safar Jeffrey Robbins Kirk Daffner |
author_sort | Seth Gale |
collection | DOAJ |
description | The authors report a case of unilateral functional neurological symptoms (nonepileptic convulsions) in a 38-year-old man with mild, motor-predominant cerebral palsy. His convulsions are all lateralized to the same side as his paretic limbs. His episodes significantly decreased after several months of weekly psychodynamic-oriented psychotherapy. Functional neurological disorders have been rarely reported in children or adults with cerebral palsy. Among patients with brain injury, right-hemispheric brain disease may be more helpful than either handedness or the side of symptoms in clinically profiling patients with suspected functional disorders. This case raises biomechanistic questions about brain injury, the development of functional disorders, and the lateralization of functional symptoms. |
first_indexed | 2024-04-12T20:05:25Z |
format | Article |
id | doaj.art-3c0bdfa5755f428eaf5ae0290ef0e282 |
institution | Directory Open Access Journal |
issn | 2213-3232 |
language | English |
last_indexed | 2024-04-12T20:05:25Z |
publishDate | 2015-01-01 |
publisher | Elsevier |
record_format | Article |
series | Epilepsy and Behavior Case Reports |
spelling | doaj.art-3c0bdfa5755f428eaf5ae0290ef0e2822022-12-22T03:18:24ZengElsevierEpilepsy and Behavior Case Reports2213-32322015-01-014C10410710.1016/j.ebcr.2014.01.005Lateralized, nonepileptic convulsions in an adult with cerebral palsy: Case report and review of the literatureSeth GaleLaura SafarJeffrey RobbinsKirk DaffnerThe authors report a case of unilateral functional neurological symptoms (nonepileptic convulsions) in a 38-year-old man with mild, motor-predominant cerebral palsy. His convulsions are all lateralized to the same side as his paretic limbs. His episodes significantly decreased after several months of weekly psychodynamic-oriented psychotherapy. Functional neurological disorders have been rarely reported in children or adults with cerebral palsy. Among patients with brain injury, right-hemispheric brain disease may be more helpful than either handedness or the side of symptoms in clinically profiling patients with suspected functional disorders. This case raises biomechanistic questions about brain injury, the development of functional disorders, and the lateralization of functional symptoms.http://www.sciencedirect.com/science/article/pii/S2213323214000061Cerebral palsyBrain injuryFunctional neurological symptom disorderPsychogenic nonepileptic seizuresNeuropsychiatry |
spellingShingle | Seth Gale Laura Safar Jeffrey Robbins Kirk Daffner Lateralized, nonepileptic convulsions in an adult with cerebral palsy: Case report and review of the literature Epilepsy and Behavior Case Reports Cerebral palsy Brain injury Functional neurological symptom disorder Psychogenic nonepileptic seizures Neuropsychiatry |
title | Lateralized, nonepileptic convulsions in an adult with cerebral palsy: Case report and review of the literature |
title_full | Lateralized, nonepileptic convulsions in an adult with cerebral palsy: Case report and review of the literature |
title_fullStr | Lateralized, nonepileptic convulsions in an adult with cerebral palsy: Case report and review of the literature |
title_full_unstemmed | Lateralized, nonepileptic convulsions in an adult with cerebral palsy: Case report and review of the literature |
title_short | Lateralized, nonepileptic convulsions in an adult with cerebral palsy: Case report and review of the literature |
title_sort | lateralized nonepileptic convulsions in an adult with cerebral palsy case report and review of the literature |
topic | Cerebral palsy Brain injury Functional neurological symptom disorder Psychogenic nonepileptic seizures Neuropsychiatry |
url | http://www.sciencedirect.com/science/article/pii/S2213323214000061 |
work_keys_str_mv | AT sethgale lateralizednonepilepticconvulsionsinanadultwithcerebralpalsycasereportandreviewoftheliterature AT laurasafar lateralizednonepilepticconvulsionsinanadultwithcerebralpalsycasereportandreviewoftheliterature AT jeffreyrobbins lateralizednonepilepticconvulsionsinanadultwithcerebralpalsycasereportandreviewoftheliterature AT kirkdaffner lateralizednonepilepticconvulsionsinanadultwithcerebralpalsycasereportandreviewoftheliterature |