RT Book, Section
A1 Hartman, Adam L.
A1 Morrison, Peter F.
A1 Vining, Eileen P.
A2 Sirven, Joseph I.
A2 Stern, John M.
SR Print(0)
ID 1103050443
T1 Epilepsia Partialis Continua
T2 Atlas of Video-EEG Monitoring
YR 2011
FD 2011
PB McGraw-Hill Education
PP New York, NY
SN 9780071597425
LK neurology.mhmedical.com/content.aspx?aid=1103050443
RD 2024/04/23
AB Epilepsia  partialis  continua  (EPC)  is  a  rare  presentation  of  epilepsy,  but  its  recognition  is  important  because  it  may  be  the  harbinger  of  very  serious  disease.  EPC  was  described  by  the  International  League  Against  Epilepsy  as  involving  nonprogressive  localized  partial  motor  seizures  followed  by  myoclonus  at  a  later  point  in  time.1  It  is  characterized  by  sustained  and  persistent  repetitive  focal  motor  activity,  usually  described  as  clonic  or  myoclonic  in  nature,  typically  involving  a  limited  number  of  muscle  groups.  Both  agonist  and  antagonist  muscle  groups  can  be  involved,  with  any  frequency,  and  it  can  persist  to  some  degree  in  sleep.  The  face,  shoulder,  arm,  and  hand  are  most  commonly  affected  (Videos  27-1,  27-2,  27-3,  27-4,  and  27-5).  The  movement  may  have  an  arrhythmic  character.  Some  patients  report  seizures  worsening  during  activities,  such  as  moving  to  pick  up  an  object.  In  these  cases,  seizure  exacerbations  as  the  hand  nears  the  target  may  be  suggestive  of  an  intention  tremor,  but  the  larger  amplitude  in  EPC  usually  distinguish  the  two  types  of  movements.