A Case of Nocturnal Paroxysmal Dystonia

J Korean Neurol Assoc > Volume 19(3); 2001 > Article

Journal of the Korean Neurological Association 2001;19(3): 305-308.

야간 발작성 근긴장이상증 1예

서우근, 김병조 박민규 박건우 김이인*이대희

고려대학교 의과대학 신경과학교실,정신과학교실*

A Case of Nocturnal Paroxysmal Dystonia

Woo Keun Seo, M.D., Byung Jo Kim, M.D., Min Kyu Park, M.D., Kun Woo Park, M.D., Leen Kim*, M.D., Dae Hie Lee M.D.

Department of Neurology, Department of Psychiatry*, Korea University Medical College

Abstract

Nocturnal paroxysmal dystonia is characterized by brief, abrupt, dystonic or dyskinetic movement during NREMsleep. It has been considered as a form of nocturnal frontal lobe epilepsy. A 35-year-old man complained of sleep dis-turbance and abnormal movement during sleep. In video-polysomnography recordings, he showed frequent stereotyped abnormal dystonic movements in upper and lower extremities. The dystonic movements occurred during stage IV sleep. He was treated with carbamazepine and the symptoms improved.J Korean Neurol Assoc 19(3):305~308, 2001Key Word : Nocturnal paroxysmal dystonia, Polysomnogram