Four cases of Dyke-Davidoff-Masson syndrome seizures and video electroencephalogram features_Journal of Epilepsy

Authors：

LI Guangli ¹ , WANG Zhongming ¹ ,  LI Zhenguang ² , LU Jun ² , PENG Qiong ²

1. Clinical Medical College, Hunan University of Chinese Medicine, Changsha 410036, China;
2. Epilepsy Center, Brain Hospital in Hunan Province, Changsha 410021, China;

Corresponding author：

LI Zhenguang, Email: 405291204@qq.com

Keywords：

Dyke-davidoff-masson syndrome; Cerebral hemispheric atrophy; Epilepsy; Video electroencephalography

DOI：

10.7507/2096-0247.202309001

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective The aim was to summarize the seizure and video electroencephalogram (VEEG) characteristics of Dyke-Davidoff-Masson syndrome (DDMS). Methods The case data of four patients with Dyke-Davidoff-Masson syndrome (DDMS) who attended the Epilepsy Center of Hunan Provincial Brain Hospital from March 2022 to March 2023 were retrospectively analyzed to summarize the clinical manifestations of their seizures and the characteristics of their video electroencephalogram (VEEG). Results One case of symptomatic epilepsy with focal seizures; VEEG showed poor background activity alpha rhythmic modulation, amplitude modulation, and increased distribution of slow wave activity in the left frontal and temporal regions; bilateral frontal-central and anterior-temporal regions (more so on the left side), with sharp and slow composite wave issuance.Two cases of symptomatic epilepsy with focal seizures progressing to generalized seizures; in one case, the VEEG showed: background activity α-rhythmic modulation, amplitude modulation is possible, the left frontal, central, anterior temporal region slow wave increase; the left frontal central, parietal anterior temporal region spike-like slow wave activity mixed with spike wave, spike-slow complex wave short-medium-range issuance; the other VEEG showed: background activity α-rhythmic modulation, amplitude modulation is possible, the right frontal central, anterior temporal region slow wave increase; right frontal, central, and anterior temporal region for the famous medium-extremely high-high-amplitude slow wave activity mixed with spike wave, spike-slow complex wave short-medium-range issuance. One case of symptomatic epilepsy with generalized seizures; VEEG showed bilateral occipital alpha rhythm asymmetry, right occipital region <50% of the left side, poor regulation and amplitude modulation; bilateral frontal pole, frontal region, anterior temporal region spike and spiking slow complex wave discharges (right side was prominent), and right pterionic electrodes, anterior temporal and mesial temporal spike and spiking slow wave discharges. Conclusions Epileptic seizures are one of the main clinical manifestations of DDMS and most of them are consulted after a seizure, and their seizure types tend to be focal seizures or progress to generalized seizures, and most of them are drug-refractory epilepsies. The results of VEEG monitoring tend to be characterized by abnormal background activity, increased slow-wave activity, and the site of epileptogenic wave-like discharges tends to be in line with the site of cerebral softening foci or the site of the atrophic side of the brain as shown by cranial MRI.

Citation： LI Guangli, WANG Zhongming, LI Zhenguang, LU Jun, PENG Qiong. Four cases of Dyke-Davidoff-Masson syndrome seizures and video electroencephalogram features. Journal of Epilepsy, 2023, 9(6): 466-471. doi: 10.7507/2096-0247.202309001 Copy

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1. Jain MJ, Kovela RK. Dyke-Davidoff-Masson syndrome. Pan Afr Med J, 2021, 39: 256.
2. Lanska DJ. Cruveilhier's unrecognized case (c1831) of Dyke-Davidoff-Masson syndrome. Eur Neurol, 2021, 84 (4): 300-306.
3. 朱凌, 徐银, 韩永升. Dyke-Davidoff-Masson综合征的临床与影像学特征. 神经损伤与功能重建, 2023, 18 (3): 176-178.
4. 张小旭, 刘雅文, 杨艳萍, 等. Dyke-Davidoff-Masson综合征一例. 磁共振成像, 2022, 13 (9): 100-101.
5. Al-Attas AA, Alwazna EO. Presentation of Dyke-Davidoff-Masson Syndrome in adult male. Neurosciences (Riyadh), 2023, 28 (2): 143-147.
6. Nand N, Venu S, Yadav M, et al. Dyke-Davidoff-Masson syndrome. J Assoc Physicians India, 2016, 64 (4): 71.
7. 郝竞汝, 李建瑞, 张志强. Dyke-Davidoff-Masson综合征一例. 中国现代神经疾病杂志, 2021, 21 (8): 701-703.
8. Kanner AM, Bicchi MM. Antiseizure medications for adults with epilepsy: a review. JAMA, 2022, 327 (13): 1269-1281.
9. Feyissa AM, Tatum WO. Adult EEG. Handb Clin Neurol, 2019, 160: 103-124.
10. Manford M. Recent advances in epilepsy. J Neurol, 2017, 264 (8): 1811-1824.

Journal of Epilepsy

Four cases of Dyke-Davidoff-Masson syndrome seizures and video electroencephalogram features

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