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CASE REPORT
Year : 2016  |  Volume : 5  |  Issue : 3  |  Page : 142-144

Paroxysmal dystonia masquerading as focal onset seizure in patient with multiple sclerosis


Department of Neurology, King Fahd Hospital of the University, Khobar, Saudi Arabia

Correspondence Address:
Azra Zafar
Department of Neurology, King Fahd Hospital of the University, P. O. Box 2208, Khobar 31952
Saudi Arabia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2278-0521.195820

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Paroxysmal movement disorders are clearly known to be associated with multiple sclerosis (MS). Paroxysmal dystonia (PD), also known as tonic spasm, is a well-recognized feature of MS. These symptoms as an initial presenting feature may be a diagnostic challenge for the treating physician and can often be mistaken as focal onset seizures. We present a case of 26-year-old girl, who presented with recurrent brief attacks of abnormal involuntary movements affecting the right upper extremity and neck for 3 years. She was diagnosed as a case of focal onset seizure disorder and was started on valproic acid. Her symptoms did not improve at all. She was admitted at King Fahd Hospital of the University, Khobar, Saudi Arabia and was diagnosed as a case of PD secondary to MS. Carbamazepine was started and showed promising results.


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