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All Journal International Journal of Public Health Science (IJPHS) Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Medical Journal of Indonesia Nexus Kedokteran Klinik Global Medical and Health Communication Biomedika MNJ (Malang Neurology Journal) Universa Medicina Jurnal Keperawatan Padjadjaran Smart Medical Journal Indonesian Journal of Medicine SEMAR Proceedings of the International Conference on Nursing and Health Sciences Cermin Dunia Kedokteran Prosiding University Research Colloquium Smart Society Empowerment Journal Magna Neurologica Biomedika Cermin Dunia Kedokteran
Diah Kurnia Mirawati
Universitas Sebelas Maret
Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Journal : Magna Neurologica

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A 21-Years-Old Man with Mesial Temporal Lobe Epilepsy and Dystonia: A Rare Case Report Putri, Puspita Sari Sugiyarto; Mirawati, Diah Kurnia; Hutabarat, Ervina Arta Jayanti
Magna Neurologica Vol. 2 No. 2 (2024): July
Publisher : Department of Neurology Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/magnaneurologica.v2i2.934

Abstract

Background: Mesial temporal lobe epilepsy (MTLE) with dystonia is a rare case. Seizures and movement disorders have almost the same phenomenology, so it is often difficult to distinguish them. In this study, we report a unique case of MTLE and co-occurring dystonia. Case: A 21 years old male with complaints of seizures since 4 years ago. Seizures of one body jerking and drooling with a duration of less than 5 minutes. Prior to the seizure the patient was nauseous then vomited and followed by an empty mind, after the seizure the patient was confused. The patient also complained of unconscious movements in his right hand since 8 years ago. The movements disappeared when the patient slept. Physical examination revealed dystonic movement with a sensory trick on the right hand. Magnetic resonance imaging (MRI) of the brain with contrast showed bilateral hippocampal atrophy accompanied by left hippocampal sclerosis. Blood laboratory results, electroencephalography, and neurobehavior examination were within normal limits.. Discussion: MTLE can be caused by mutations in SCN1A, VPS13A, C90RF72, or TDP 43. Dystonia can be caused by mutations in SCN1A, TUBB4A, TOR1A, THAP1, or GNAL. SCN1A causes an increase in sodium influx, causing depolarization which causes clinical manifestations in the form of seizures and dystonia. For some disorders, although genetic causes have been identified, the molecular pathophysiology remains largely unknown, requiring further research. Conclusion: For some disorders, although genetic causes have been identified, the molecular pathophysiology remains largely unknown, requiring further research.
Co-Authors . Suroto Achmad Arman Subijanto Achmad Arman Subijanto, Achmad Arman Afifah Syifaul Ummah Apriyanto, Arif Arif Apriyanto Astrida Fesky Febrianty B, Benedictus Baarid Lukman Hamidi Baarid Luqman Hamidi Baarid Luqman Hamidi Bagus Dwi Prasetyo Bambang Purwanto Benedictus Benedictus Budianto, Pepi Damayanti, Elok Dewi Hayu Kirana Dewi, Endang Kusuma Dhiandra Dwi Hapsari Dono Indarto Endang Kusuma Dewi Endang Sutisna Sulaeman Endang Sutisna Sulaeman Ervina Arta Jayanti Hutabarat Faizal Muhammad Farida Aisyah Fauzi Novia Isnaening Tyas Fauzi Novia Isnaening Tyas Fillisita Chandramalina Dewayani Gia Noor Pratami Ginong Pratidina Wijnaputri Hafizhan, Muhammad Hambarsari, Yetty Hamidi, Baarid Lukman Hamidi, Baarid Luqman Hanindia Riani Prabaningtyas Hanindia Riani Prabaningtyas Hanindia Riani Prabaningtyas Hanindia Riani Prabaningtyas Hanindia Riani Prabaningtyas Hanindia Riani Prabaningtyas Hanindya Riani Prabaningtyas Hanindya Riani Prabaningtyas Hapsari, Maria Yosita Ayu Hutabarat, Ervina Arta Jayanti Ida Ayu Putu Sri Widnyani Ida Untari Ida Untari Ilhamsyah, Rudi Ira Ristinawati Kenneth Tan Lawly Arrel Dionnie Greatalya Lestari Handayani Lucia Pancani Anggraeni Muchtar Hanafi Muhammad Hafizhan Muhammad Hafizhan Muhammad Hafizhan Muhammad Hafizhan Muhammad, Faizal Nanang Wiyono Novian Anindito Santosa Novian Anindito Santosa Nyono Dedi Prabowo Pepi Budianto Pepi Budianto Pepi Budianto Prabaningtyas, Hanindia Riani Prabaningtyas, Hanindya Prabaningtyas, Hanindya Riani Putri, Puspita Sari Sugiyarto Raden Ajeng Hanindia Riani Prabaningtyas Raden Andi Ario Tedjo Raden Andi Ario Tedjo Rahmatillah, Arif Rakhma, Titian Ristinawati, Ira Rivan Danuaji Rivan Danuaji Rivan Danuaji Rivan Danuaji Rivan Danuaji Rivan Danuaji Rivan Danuaji Setyo Sri Rahardjo Soetrisno Stefanus Erdana Putra Subandi Subandi Subandi Subandi Subandi Subandi Subandi Subandi Subandi Subandi Subandi Subandi Subandi Subandi Subandi Sulistyani Sulistyani Sulistyani Sulistyani SUROTO Suroto . Suroto Suroto Suroto Suroto Suroto Suroto Susilo, Wahyu Agung Tan, Kenneth Teddy Tejomukti Tedjo, Raden Andi Ario Tejomukti, Teddy Vitri Widyaningsih Vivienne Tjung Wahyu Agung Susilo Widhianingsih, Nella Lusti Yetty Hambarsari Yetty Hambarsari