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Report of a Case Relieved by Carbamazepine

Motohiro Kato, MD; Shukuro Araki, MD

Arch Neurol. 1969;20(5):508-513.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

IN 1901, Gowers¹ described two patients with paroxysmal involuntary movements precipitated by initiation of voluntary movement. Since then, few similar cases have been reported. In 1940, Mount and Reback² described a family in which several members suffered from episodic choreoathetosis and called the disorder "familial paroxysmal choreoathetosis." Subsequently, the same or similar conditions were described with various other titles such as reflex epilepsy,³ periodic dystonia,⁴ epilepsie bravais-jacksonienne réflex,⁵ conditionally responsive extrapyramidal syndrome,⁶ seizures induced by movement,⁷ hereditary kinesthetic reflex epilepsy,⁸ and paroxysmal kinesigenic choreoathetosis.⁹

These paroxysms are characterized by choreoathetotic and tonic movements. They are precipitated by sudden voluntary movement, begin in childhood, and are occasionally familial. The cause is not known, although one patient had a birth injury¹⁰ and another a scar of the cerebral cortex.¹¹ The mechanism of the involuntary movements has not been clarified.

Since the disorder . . . [Full Text PDF of this Article]

Author Affiliations
Fukuoka, Japan

From the Department of Neurology, Neurological Institute, Faculty of Medicine, Kyushu University, Fukuoka, Japan.

Footnotes
Submitted for publication Sept 23, 1968; accepted Dec 18.

Reprint requests to Department of Neurology, Neurological Institute, Faculty of Medicine, Kyushu University, Fukuoka, Japan (Dr. Kato).

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