Chapter

Case 16

Sarah T Pendlebury, Philip Anslow and Peter M Rothwell

in Neurological Case Histories

Published on behalf of Oxford University Press

Published in print February 2007 | ISBN: 9780192631626
Published online November 2012 | e-ISBN: 9780191753121 | DOI: http://dx.doi.org/10.1093/med/9780192631626.003.0016

Series: Oxford Case Histories

Case 16

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A 34-year-old woman was admitted for urgent investigation of twitching of the face and jerking of the legs and arms that had begun 3 weeks earlier. On one occasion, her right arm had jerked when she was holding a glass of water, causing her to drop it. Over the preceding 2 years, she had had multiple episodes of stuttering speech and slight mental slowing lasting for days to several weeks, during which she had found it difficult to function at work. On 3 occasions, she had suffered a sudden loss of consciousness, and tonic clonic activity associated with prolactin rise was seen on one occasion. After each episode she had had a ‘prolonged postictal period’. Cerebral MRI had been unremarkable. She had been prescribed carbamezepine. There was no other past medical history and she worked as a marketing manager.

Chapter.  760 words. 

Subjects: Neurology

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