Seizures and movement disorders: phenomenology, diagnostic challenges and therapeutic approaches

Journal of Neurology, Neurosurgery, and Psychiatry
Maria Eliza FreitasAlfonso Fasano

Abstract

Seizures and movement disorders (MDs) are distinct neurological conditions presenting with abnormal movements. Despite sharing an overlap in phenomenology, these movements have different origins. In order to explore the overlaps and the narrow boundaries between these two conditions, we performed a review of the literature to explore the risk of seizures in MDs. We discussed the mimics and chameleons including MDs that look like seizure (eg, paroxysmal dyskinesia, status dystonicus) and seizures that look like MDs (eg, epilepsia partialis continua, nocturnal frontal lobe epilepsy). Additionally, we examined the therapeutic challenges as well as the anatomical and chemical pathways relevant in the interplay between epilepsy and MDs. Finally, we proposed an algorithm to guide clinicians towards the final diagnosis of conditions characterised by the co-occurrence of MDs and seizures.

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Citations

Aug 4, 2020·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Massimo MaranoAlfonso Fasano
Jan 25, 2021·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·James BadenochAndrea E Cavanna
Feb 28, 2021·Journal of Veterinary Internal Medicine·Sherril Green, Natasha Olby
Sep 4, 2021·Neurology and Therapy·Meng-Ting CaiMei-Ping Ding
Mar 3, 2020·Lancet·Arjune SenJosemir W Sander

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