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CASE REPORT
Year : 2017  |  Volume : 37  |  Issue : 4  |  Page : 172-174

Movement disorder and epilepsy in subependymal nodular heterotopia


1 Department of Medicine, Sawai Man Singh Medical College and Hospital, Jaipur, Rajasthan, India
2 Department of Pediatrics, Sawai Man Singh Medical College and Hospital, Jaipur, Rajasthan, India

Correspondence Address:
Richa Choudhary
Department of Pediatrics, Sawai Man Singh Medical College and Hospital, Jaipur - 302 004, Rajasthan
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jmedsci.jmedsci_5_17

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Subependymal nodular heterotopia is a cortical development malformation that is commonly associated with refractory epilepsy. Patients with heterotopia show a wide spectrum of clinical manifestations, from being asymptomatic to presenting with intractable seizures and intellectual impairment. We report a case of drug-resistant epilepsy with normal intelligence, having bilateral subependymal heterotopic nodules in the brain, presenting to us with a movement disorder in the form of myoclonus of bilateral lower limbs which is an unusual manifestation of gray matter heterotopias. Although rare, gray matter heterotopias may present as movement disorder and should be considered in differential diagnosis while workup of movement disorders.


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