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Alternating hemiplegia of childhood: case report

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Abstract

We report the case of a 31/2 year old girl who had had attacks of alternating hemiplegia from the age of 6 months. Peculiar features from the etiopathogenetic angle seem to be the presence of a ring of mild stenosis of the vertebral artery on the right side, the influence of the upright posture on the onset of the attacks and perhaps also of variations in atmospheric pressure. The only drug that had some effect was flunarizine. Phenobartbital, haloperidol and nadolol had no appreciable effect.

Sommario

Viene descritto il caso di una bambina di 3 anni e 6 mesi che ha presentato dall'età di 6 mesi attacchi di emiplegia alternante.

Peculiari da un punto di vista etiopatogenetico sembrano essere la presenza di un lieve anello stenosante dell'arteria vertebrale di destra, l'influenza dell'ortostatismo nell'insorgere delle crisi e forse anche le variazioni della pressione atmosferica.

Nel controllo delle crisi l'unico farmaco parzialmente efficace è risultato essere la Flunarizina, mentre nessun risultato apprezzabile hanno dato Fenobarbital, Aloperidolo, Nadololo.

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References

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Authors and Affiliations

  1. Division di Neuropsichiatria Infantile-IRCCS Fondazione “Istituto Neurologico C. Mondino”, Università di Pavia, Via Palestro 3, 27100, Pavia

    Lanzi G., Balottin U., Rossi G. & Scarabello E.

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  1. Lanzi G.
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  2. Balottin U.
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  3. Rossi G.
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  4. Scarabello E.
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Lanzi, G., Balottin, U., Rossi, G. et al. Alternating hemiplegia of childhood: case report. Ital J Neuro Sci 13, 255–257 (1992). https://doi.org/10.1007/BF02224399

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  • DOI: https://doi.org/10.1007/BF02224399

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