Benign nocturnal alternating hemiplegia of childhood: Two cases with positive evolution |
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Authors: | Frédéric Villéga Fabienne PicardCaroline Espil-Taris Marie HussonVéronique Michel Jean-Michel Pedespan |
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Institution: | a Department of Child Neurology, University Hospital of Bordeaux, 33076 Bordeaux Cedex, France b Department of Neurology, University Hospital and Medical School of Geneva, Switzerland c Department of Neurophysiology, University Hospital of Bordeaux, France |
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Abstract: | Benign nocturnal alternating hemiplegia (BNAH) of childhood is distinct from the classic form of malignant alternating hemiplegia of childhood 1]. It is characterized by hemiplegic attacks occurring exclusively during sleep 2]. It can be misdiagnosed as migraine, nocturnal frontal lobe epilepsy, benign rolandic epilepsy, Panayiotopoulos syndrome, or sleep-related movement disorder 1], 2], 3] and 4]. Only nine patients have been described to date, with typically, a normal development 1], 5], 6] and 7]. In order to insist about the benignity of the affection, we report two cases: a new three-year-old boy suffering from BNAH and a patient already published to show positive evolution at fourteen years of age. BNAH is a rare disorder but may be underdiagnosed. Making an early diagnosis can help to describe to the parents the good prognosis without treatment. |
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Keywords: | Benign nocturnal alternating hemiplegia Sleep Alternating hemiplegia of childhood Migraine Movement disorder Seizures Ocular movements Sleep-related movement disorder Differential diagnosis |
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