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188宝金博页面版: Sweating as a presentation of focal epilepsy clinical case report

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内容提示: A. Romigistudies in patients with complex neurodevelopmental disor-ders of unknown origin.FundingThe authors have received no funding for this study.References1. Li Z, Du C, Zhang C, Zhang M, Ying Y, Liang Y, et al. Noveltruncating variant of PPM1D penultimate exon in a Chinesepatient with Jansen-de Vries syndrome. Mol Genet Genomic Med.2020;8:e1120.2. Jansen S, Geuer S, Pfundt R, Brough R, Ghongane P, Herkert JC,et al. De novo truncating mut...

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A. Romigistudies in patients with complex neurodevelopmental disor-ders of unknown origin.FundingThe authors have received no funding for this study.References1. Li Z, Du C, Zhang C, Zhang M, Ying Y, Liang Y, et al. Noveltruncating variant of PPM1D penultimate exon in a Chinesepatient with Jansen-de Vries syndrome. Mol Genet Genomic Med.2020;8:e1120.2. Jansen S, Geuer S, Pfundt R, Brough R, Ghongane P, Herkert JC,et al. De novo truncating mutations in the last and penultimateexons of PPM1D cause an intellectual disability syndrome. Am JHum Genet. 2017;100:650—8.3. Kuroda Y, Murakami H, Yokoi T, Kumaki T, Enomoto Y, Tsurusaki Y,et al. Two unrelated girls with intellectual disability associatedwith a truncating mutation in the PPM1D penultimate exon. BrainDev. 2019;41:538—41.4. Porrmann J, Rump A, Hackmann K, Di Donato N, Kahlert AK, Wag-ner J, et al. Novel truncating PPM1D mutation in a patient withintellectual disability. Eur J Med Genet. 2019;62:70—2.5. Adams J, McClellan J, Douglass D, McCurry C, Storck M. Sexu-ally inappropriate behaviors in seriously mentally ill children andadolescents. Child Abuse Negl. 1995;19:555—68.D. Martín Fernández-Mayoralas a,c,∗ ,A.L. Fernández-Perrone a,∗ , A. Jiménez De Domingo a ,A. Alba Menéndez b , A. Fernández-Jaén a,ca Departamento de Neuropediatría, Hospital UniversitarioQuirónsalud, Madrid, Spainb Genómica y Medicina, Instituto de Estudios Celulares yMoleculares, Lugo, Spainc Facultad de Medicina, Universidad Europea de Madrid,Villaviciosa de Odón, Madrid, Spain∗ Corresponding author.E-mail addresses: daniel.martinf@quironsalud.es(D. Martín Fernández-Mayoralas),afernandezj@quironsalud.es (A.L. Fernández-Perrone).https://doi.org/10.1016/j.nrleng.2020.06.0052173-5808/© 2020 Sociedad Espa˜ nola de Neurolog´?a. Published by ElsevierEspa˜ na, S.L.U. This is an open access article under the CCBY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).Sweating as a presentation offocal epilepsy: clinical casereport ?Sudoración como presentación de epilepsiafocal: descripción de un caso clínicoDear Editor:Autonomic symptoms may be the fi rst manifestation ofan epileptic seizure. 1 The International League AgainstEpilepsy (ILAE) classif i cation identif i es autonomic seizuresas focal non-motor seizures. 2 Autonomic symptoms mayrange from subclinical changes to potentially fatal haemo-dynamic instability. The anatomical substrate of autonomicseizures generally resides in the central autonomic network.This network comprises the insular cortex, anterior cingu-late cortex, amygdalae, hypothalamus, periaqueductal greymatter, parabrachial nucleus, solitary nucleus, rostral ven-trolateral medulla, and raphe nucleus. 3 We present the caseof a patient with episodes of right hemibody hyperhidrosissecondary to insular dysplasia.The patient was a 39-year-old right-handed man withno relevant medical history. From the age of 28, he hadpresented episodes of increased temperature and sweat-?Please cite this article as: López-Bravo A, Sanabria-Sanchinel AA,Marín-Gracia M, Viloria-Alebesque A. Sudoración como presentaciónde epilepsia focal: descripción de un caso clínico. Neurología.2021;36:332—334.ing on the right side of the face and body; episodes lasted5-10 minutes and did not involve altered level of conscious-ness (Fig. 1 and Appendix B). These episodes presented6-7 times per day. The baseline sleep-deprived electroen-cephalogram (EEG) showed no epileptiform alterations. Abrain magnetic resonance imaging (MRI) study (3T scanner)revealed radiological signs suggestive of polymicrogyria ofthe left insular cortex (Fig. 2). Suspecting focal autonomicseizures, we started treatment with eslicarbazepine acetateat 800 mg/day; this reduced the number of seizures to theFigure 1 Sweating in the patient’s right lower limb during anepileptic seizure.332

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