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‘Hand mechanogram’ in epilepsia partialis continua


Epilepsia partialis continua manifests as low-frequency, rhythmic involuntary movements of a focal body part. We report a young man, HIV-positive and with syphilis, who developed right-hand epilepsia partialis continua associated with a small left-sided cortico-subcortical frontal lesion. A pen and paper test provided ‘mechanographic’ data on frequency, amplitude and rhythmicity of the hand movements, helping distinguish it from other causes of low-frequency repetitive hand movements.

  • tremor
  • epilepsy
  • movement disorders
  • myoclonus

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    Phil E M Smith Geraint N Fuller

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