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Neurological picture
Moyamoya disease presenting as Valsalva related partial seizures
  1. N P ROBERTSON,
  2. D A S COMPSTON
  1. University of Cambridge Neurology Unit
  2. University of Cambridge Department of Neurosurgery, Addenbrooke’s Hospital, Hills Rd, Cambridge, UK
  1. Dr N Robertson, University of Cambridge Neurology Unit, Addenbrooke’s Hospital, Hills Rd, Cambridge CB2 2QQ, UK. Telephone 01223 216751; fax 01223 336941.
  1. P KIRKPATRICK
  1. University of Cambridge Neurology Unit
  2. University of Cambridge Department of Neurosurgery, Addenbrooke’s Hospital, Hills Rd, Cambridge, UK
  1. Dr N Robertson, University of Cambridge Neurology Unit, Addenbrooke’s Hospital, Hills Rd, Cambridge CB2 2QQ, UK. Telephone 01223 216751; fax 01223 336941.

https://doi.org/10.1136/jnnp.66.1.111

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    A female patient presented aged 13 with occasional stereotypic episodes of dizziness followed by jerking of her right leg spreading rapidly to her right arm over a few minutes without loss of consciousness. An EEG disclosed a right sided slow wave disturbance which increased with overbreathing and cranial CT was normal. Her seizures resolved on a small dose of carbamazepine. At the age of 19, two years after voluntary cessation of her antiepileptic medication, she was again referred with a brief history of involuntary jerking movements of her right upper limb on …

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