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2012
DOI: 10.1016/j.ejpn.2012.01.007
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Hemiconvulsion–hemiplegia–epilepsy syndrome: Current understandings

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Cited by 55 publications
(71 citation statements)
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“…The clinical and radiological findings in our case have a striking resemblance to those seen in hemiconvulsion-hemiplegia-epilepsy syndrome in the paediatric population,9 which is a rare outcome of prolonged focal febrile convulsions with hemiplegia and subsequent epilepsy later9; brain imaging of those patients showed initial unilateral oedema followed by cerebral hemiatrophy at a later stage 10. The aetiology is suggested to be mixture of inflammatory cytokines activation induced by the focal status epilepticus or presumed primary viral infection that leads to initial cytotoxic brain oedema and eventually neuronal cell necrosis and atrophy 10.…”
Section: Discussionsupporting
confidence: 73%
“…The clinical and radiological findings in our case have a striking resemblance to those seen in hemiconvulsion-hemiplegia-epilepsy syndrome in the paediatric population,9 which is a rare outcome of prolonged focal febrile convulsions with hemiplegia and subsequent epilepsy later9; brain imaging of those patients showed initial unilateral oedema followed by cerebral hemiatrophy at a later stage 10. The aetiology is suggested to be mixture of inflammatory cytokines activation induced by the focal status epilepticus or presumed primary viral infection that leads to initial cytotoxic brain oedema and eventually neuronal cell necrosis and atrophy 10.…”
Section: Discussionsupporting
confidence: 73%
“…Late-onset epilepsy, often refractory to medical treatment, ensues in more than half of cases, usually within 1 year of disease onset, delineating the full syndrome 2. Despite this patient’s presentation with epilepsy and cerebral haemiatrophy, we considered that haemiconvulsion–haemiplegia–epilepsy syndrome was unlikely because of the presentation in late adolescence and the lack of a precipitating febrile illness.…”
Section: Discussionmentioning
confidence: 96%
“…This condition can be very well differentiated on the basis of imaging features, which include unihemispheric focal cortical atrophy and ipsilateral head of the caudate nucleus, without any calvarial changes21. HHE is characterized by unilateral prolonged clonic seizures followed by the development of hemiplegia in younger children22. Patients with Silver-Russell syndrome have a normal head circumference and normal intelligence but poor growth, clinodactyly, hemi-hypertrophy, and a characteristic facial phenotype (triangular face, small pointed chin, broad forehead, and a thin wide mouth)23.…”
Section: Discussionmentioning
confidence: 99%