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Multiple Sclerosis
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Paroxysmal dystonia and pathological laughter as a first manifestation of multiple sclerosis

M. Aguirregomozcorta

Neuroimmunology and Multiple Sclerosis Unit, Department of Neurology, Hospital Dr Josep Trueta, Girona, Spain, maria6478{at}yahoo.es

LI Ramió-Torrentà

Neuroimmunology and Multiple Sclerosis Unit, Department of Neurology, Hospital Dr Josep Trueta, Girona, Spain

J. Gich

Neuroimmunology and Multiple Sclerosis Unit, Department of Neurology, Hospital Dr Josep Trueta, Girona, Spain

A. Quiles

MRI Unit - IDI, Department of Radiology, Hospital Dr Josep Trueta, Girona, Spain

D. Genís

Neuroimmunology and Multiple Sclerosis Unit, Department of Neurology, Hospital Dr Josep Trueta, Girona, Spain

Paroxysmal dystonia is an uncommon but well-established feature of multiple sclerosis (MS). Attacks can occur in established MS and may even occasionally be the initial symptom of this disorder. Pathological laughter is usually seen as a pseudobulbar palsy in some diffuse neurological diseases, but cases have been described, mostly in ischaemic attacks or tumours, where it is presented as bursts of laughter of variable duration. The pathogenesis of neither of the two phenomena has been fully established but both have been reported as being positive phenomena resulting from ectopic activation with ephaptic spread. We describe the first reported case of a paroxysmal hemidystonia together with bursts of pathological laughter as the first manifestation of MS. Multiple Sclerosis 2008; 14: 262—265. http://msj.sagepub.com

Key Words: demyelination • ephaptic • multiple sclerosis • paroxysmal dystonia • pathological laughter • tonic seizures • tonic spasms

This version was published on March 1, 2008

Multiple Sclerosis, Vol. 14, No. 2, 262-265 (2008)
DOI: 10.1177/1352458507082053


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