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Reflex Epilepsy Induced by Tooth Brushing：A Case Report
오영미, 조희영, 김종국, 김상우, 김상호,
소속 상세정보
오영미 ( Oh Young-Mi )
동아대학교 의과대학 신경과학교실
조희영 ( Jo Hee-Young )
동아대학교 의과대학 신경과학교실
김종국 ( Kim Jong-Kuk )
동아대학교 의과대학 신경과학교실
김상우 ( Kim Sang-Woo )
춘해병원 신경과
김상호 ( Kim Sang-Ho )
동아대학교 의과대학 신경과학교실
KMID : 0877220040080020151
Abstract
Reflex epilepsy describes seizures which are precipitated by clearly recognized stimuli. Reflex epileptic seizures triggered by tooth brushing are rare. We report a case with reflex epilepsy occurring exclusively during tooth brushing. He began having seizures at age 28. Neurological examinations and brain magnetic resonance images were found normal. On long term video-EEG monitoring, he presented two episodes of simple partial seizure induced by brushing molar and premolar teeth, which was right facial clonic movement persisting 3-5 seconds. He was unresponsive during the event, but had no postictal confusion. Ictal EEG showed 6 Hz rhythmic theta activity in the left frontocentral area. Interictal EEG was normal. The findings of EEG suggest that this reflex epilepsy might have epileptic focus in the left frontocentral area. Reasonable precaution such as gargling or less vigorous brushing of his teeth with fingers effectively prevented seizure recurrence.
키워드
Tooth brushing induced epilepsy;Reflex epilepsy
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