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...

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Main Authors: Seth Gale, Laura Safar, Jeffrey Robbins, Kirk Daffner
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
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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.
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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
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AT jeffreyrobbins lateralizednonepilepticconvulsionsinanadultwithcerebralpalsycasereportandreviewoftheliterature
AT kirkdaffner lateralizednonepilepticconvulsionsinanadultwithcerebralpalsycasereportandreviewoftheliterature