Opercular myoclonic-anarthric status epilepticus: A report of two cases
Opercular myoclonic-anarthric status epilepticus (OMASE) is an uncommon disorder of diverse etiology. This condition is characterized by fluctuating cortical dysarthria associated with epileptic myoclonus involving glossopharyngeal musculature bilaterally. We report two cases of OMASE of vascular et...
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doaj-1945ef049ccf4e6397bb476a99270f0d2020-11-24T22:46:59ZengWolters Kluwer Medknow PublicationsAnnals of Indian Academy of Neurology0972-23271998-35492013-01-0116456556810.4103/0972-2327.120470Opercular myoclonic-anarthric status epilepticus: A report of two casesJanapareddy Vijaya Bhaskara RaoBhuma VengammaThota NaveenMarella Sudhakar RaoOpercular myoclonic-anarthric status epilepticus (OMASE) is an uncommon disorder of diverse etiology. This condition is characterized by fluctuating cortical dysarthria associated with epileptic myoclonus involving glossopharyngeal musculature bilaterally. We report two cases of OMASE of vascular etiology in adults. In both patients, ictally clonic expression was consistent with epilepsia partialis continua and bilateral, symmetrical involvement of soft palate in one patient and tongue, lips, chin and inferior jaw in both patients due to bilateral projections of the inferior corticonuclear pathways. The inferior rolandic area of dominant and high frontal region in non-dominant hemispheres were involved by an epileptogenic lesion of vascular etiology, which was confirmed by magnetic resonance imaging of brain and single photon emission computerized tomography. Carotid Doppler study showed thrombosis of internal carotid artery in both patients, suggestive of an embolic origin. Early recognition of OMASE is important for early management of carotid occlusive disease.http://www.annalsofian.org/article.asp?issn=0972-2327;year=2013;volume=16;issue=4;spage=565;epage=568;aulast=BhaskaraEpilepsia partialis continuaglossopharyngeal musculatureopercular myoclonic status epilepticus-anarthriastroke |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Janapareddy Vijaya Bhaskara Rao Bhuma Vengamma Thota Naveen Marella Sudhakar Rao |
spellingShingle |
Janapareddy Vijaya Bhaskara Rao Bhuma Vengamma Thota Naveen Marella Sudhakar Rao Opercular myoclonic-anarthric status epilepticus: A report of two cases Annals of Indian Academy of Neurology Epilepsia partialis continua glossopharyngeal musculature opercular myoclonic status epilepticus-anarthria stroke |
author_facet |
Janapareddy Vijaya Bhaskara Rao Bhuma Vengamma Thota Naveen Marella Sudhakar Rao |
author_sort |
Janapareddy Vijaya Bhaskara Rao |
title |
Opercular myoclonic-anarthric status epilepticus: A report of two cases |
title_short |
Opercular myoclonic-anarthric status epilepticus: A report of two cases |
title_full |
Opercular myoclonic-anarthric status epilepticus: A report of two cases |
title_fullStr |
Opercular myoclonic-anarthric status epilepticus: A report of two cases |
title_full_unstemmed |
Opercular myoclonic-anarthric status epilepticus: A report of two cases |
title_sort |
opercular myoclonic-anarthric status epilepticus: a report of two cases |
publisher |
Wolters Kluwer Medknow Publications |
series |
Annals of Indian Academy of Neurology |
issn |
0972-2327 1998-3549 |
publishDate |
2013-01-01 |
description |
Opercular myoclonic-anarthric status epilepticus (OMASE) is an uncommon disorder of diverse etiology. This condition is characterized by fluctuating cortical dysarthria associated with epileptic myoclonus involving glossopharyngeal musculature bilaterally. We report two cases of OMASE of vascular etiology in adults. In both patients, ictally clonic expression was consistent with epilepsia partialis continua and bilateral, symmetrical involvement of soft palate in one patient and tongue, lips, chin and inferior jaw in both patients due to bilateral projections of the inferior corticonuclear pathways. The inferior rolandic area of dominant and high frontal region in non-dominant hemispheres were involved by an epileptogenic lesion of vascular etiology, which was confirmed by magnetic resonance imaging of brain and single photon emission computerized tomography. Carotid Doppler study showed thrombosis of internal carotid artery in both patients, suggestive of an embolic origin. Early recognition of OMASE is important for early management of carotid occlusive disease. |
topic |
Epilepsia partialis continua glossopharyngeal musculature opercular myoclonic status epilepticus-anarthria stroke |
url |
http://www.annalsofian.org/article.asp?issn=0972-2327;year=2013;volume=16;issue=4;spage=565;epage=568;aulast=Bhaskara |
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