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Wang Hee Ryung HR Department of Psychiatry, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, - - 2014
We reviewed the existing literature on the efficacy of anticonvulsants in treating post-traumatic stress disorder. We performed a literature search using PubMed, EMBASE and the Cochrane database on 30 September 2013. Randomized, controlled studies that investigated the efficacy of anticonvulsants for post-traumatic stress disorder were included in this review. Studies ...
Hilberath Johannes M JM Department of Pediatrics, Klinikum Traunstein, Cuno-Niggl-Str. 3, 83278, Traunstein, Germany, - - 2014
Steroid-responsive encephalopathy associated with autoimmune thyroiditis (SREAT), also termed Hashimoto's encephalopathy (HE), is a rare immune-mediated disorder and is also affecting children and adolescents. It is characterized by altered mental status, seizures, and cognitive dysfunction. Therapeutic options include steroid treatment and prognosis range from complete recovery, a relapsing course to ...
Ilik Faik F Elbistan State Hospital, Kahramanmaras, Turkey - - 2014
Reflex epilepsies can be provoked by various types of external stimuli, but triggered by smell is rare in the literature. In this case report, we present a patient whose reflex epilepsy is triggered by smell. Physical examination findings and electrophysiologic studies of the patient are discussed.
Jimenez Xavier F XF Cleveland Clinic Foundation, Department of Psychiatry and Psychology, 9500 Euclid Avenue, P57, Cleveland, OH 44195, USA. Electronic address: - - 2014
Psychogenic nonepileptic seizures (PNES), a form of conversion disorder, are paroxysmal episodes resembling epilepsy while lacking electrographic correlation. The phenomenon has rarely been reported in elderly patients and has not been associated with a new-onset medical diagnosis. We present the case of an 81-year-old female with no past psychiatric or ...
Ilik Faik F Department of Neurology, Elbistan State Hospital, Kahramanmaras, Turkey - - 2014
The corpus callosum is the main band of interhemispheric axonal fibers in the human brain. Corpus callosum agenesis has widely varying symptoms, mainly associated with epilepsy, cognitive failure, and different neuropsychiatric disorders. Our case of corpus callosum agenesis includes eyelid myoclonia with absences. In the literature, there is no reported ...
Zhang Ji J Department of Neurosurgery, Sun Yat-sen University Cancer Center, 651 Dongfeng East Road, Guangzhou 510060, PR - - 2014
Ependymona occasionally occurs outside the ventricular structures, which is called ectopic ependymona (EE), while pure cortex location is uncommon. However, cortical anaplastic ependymoma (CE) is rare, especially in children. There were only four primary CEs, which is located in the superficial cortex, were reported the age of the patient under ...
Naffaa Lena N LN Lena N Naffaa, Michael Rubin, Department of Radiology, Akron Children's Hospital, Akron, OH 44308, United - - 2014
Seizures are one of the most common pediatric neurologic disorders. Many complications secondary to seizures have been described in the literature including head trauma, fractures, drowning and burns. However, to the best of our knowledge, rupture of the myotendinous insertion of the temporalis muscle on the mandible secondary to a ...
Seneviratne Udaya U Department of Medicine, St. Vincent's Hospital, University of Melbourne, Melbourne, Victoria, Australia; Department of Neuroscience, Monash Medical Centre, Melbourne, Victoria, - - 2014
Conventionally, epilepsy is dichotomized into distinct "focal" and "generalized" categories. However, many studies have reported so-called focal features among patients with idiopathic generalized epilepsy (IGE) in the domains of semiology, electroencephalography, neuropsychology, neuropathology, and neuroimaging. We sought to review such features and clinical implications. A Web of Science database search ...
Ragona Francesca F Department of Pediatric Neuroscience, Foundation I.R.C.C.S. Neurological Institute C. Besta, Milan, - - 2014
We report a 12-year-old female patient with a mild phenotype of glucose transporter type 1 deficiency syndrome (Glut1D). The clinical picture was characterized by refractory absence epilepsy, migraine, and learning disabilities. Absence seizures appeared at the age of 4 years, and electroencephalogram (EEG) showed irregular discharges of diffuse epileptic abnormalities. ...
Moura Lidia M V R LM From the Department of Neurology (L.M.V.R., M.N., S.P., S.S.C., A.J.C., D.B.H., E.S.R., M.B.W.), Epilepsy Service, Massachusetts General Hospital, Boston; and Department of Neurology (M.M.S.), Division of Epilepsy, Beth Israel Deaconess Medical Center, Boston, - - 2014
Quantitatively evaluate whether screening with compressed spectral arrays (CSAs) is a practical and time-effective protocol for assisting expert review of continuous EEG (cEEG) studies in hospitalized adults.METHODS: Three neurophysiologists reviewed the reported findings of the first 30 minutes of 118 cEEGs, then used CSA to guide subsequent review ("CSA-guided review" ...
Rapoport Yuna - - 2014
A case is reported of acute bilateral myopia and angle closure glaucoma in a 7-year-old patient from topiramate toxicity. This is the second known reported case of topiramate induced acute angle closure glaucoma and third known reported case of topiramate induced acute myopia in a pediatric patient. This case presents ...
Kundu Shinjini S From the *School of Medicine, University of Pittsburgh; †Department of Biomedical Engineering, Carnegie Mellon University; Departments of ‡Radiology, and §Pathology, University of Pittsburgh Medical Center, Pittsburgh, - - 2014
We report a case of intractable seizures secondary to an angioglioma that was misdiagnosed as post-traumatic encephalomalacia for over a decade, with a discussion of the radiological findings and a review of the literature.
Tarocco Anna A Department of Medical Sciences, Pediatric Section, S. Anna University Hospital, Ferrara, - - 2014
Brain malformations represent a major cause of refractory seizures. Standardized protocols to treat status epilepticus of newborn are not available in the literature. We present a case report of use of ketamine administered to a late preterm with Pierre Robin sequence, lissencephaly, polymicrogyria, and severe epilepsy. The infusion of ketamine ...
Duplyakov Dmitry D Cardiology Department, Samara Regional Cardiology Dispensary, Samara, Russia; Samara State Medical University, Samara, Russia. Electronic address: - - 2014
Episodes of transient loss of consciousness (TLOC) are commonly due to syncope or epileptic seizures. The distinction between both entities on clinical grounds and eyewitness accounts can be challenging and is often hampered by similar clinical features. We briefly summarize syncope-related symptoms and present the case of a female patient ...
Sartori Stefano S Pediatric Neurology Unit, Division of Pediatrics, University of Padua, Padua, Italy. Electronic address: - - 2014
Background: Breath-holding spells (BHS) are benign non-epileptic paroxysmal events of infancy, rarely occurring with high frequency and complicated by prolonged syncope, convulsions and even status epilepticus. In these cases response to medical treatment is often unsatisfactory. Pacemaker implantation is a possible therapeutic option, but its indications, efficacy and complications have ...
Algahtani Hussein A HA *College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia; †College of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia; ‡College of Pharmacy, Umm al-Qura University, Makkah, Saudi Arabia; and §Department of Clinical Neurological Sciences, University of Western Ontario London, Ontario, - - 2014
Lamotrigine (LTG) is a well-tolerated broad-spectrum antiepileptic drug, which is chemically unrelated to other existing antiepileptic medications. The drug has also some mood-stabilizing properties and, according to some studies, modest antidepressant effects. The exact mechanism of action is unknown, but some animal studies suggest the inhibition of neuronal glutamate release. ...
James Greg G Department of Neurosurgery, Great Ormond Street Hospital for Children, London, WC1N 3JH, UK, - - 2014
Hemimegalencephaly is a rare sporadic brain malformation characterized by enlargement of one cerebral hemisphere. The classical clinical triad consists of intractable epilepsy, severe psychomotor delay and hemiparesis. In this report, we describe a case of a 3-year-old girl, with all the radiological features of severe hemimegalencephaly but with a comparatively ...
Chunhua Qian Q From the Department of Neurosurgery, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, People's Republic of - - 2014
A 40-year-old man presented with recent recurrent seizures. He was operated on to resect the right temporal mass with a foreign body, a pencil lead. The foreign body had entered the brain parenchyma for an accident in a child without apparent head injury, sustained for 30 years. He was asymptomatic ...
Feng Rui R Department of Neurosurgery, Huashan - - 2014
Aim. Mesial temporal extraventricular neurocytoma (mtEVN) is a rare cause of refractory complex focal seizures. The characteristics of this clinical entity are discussed in this article. Methods. We report two cases of mtEVN and review the related literature, with particular emphasis on radiological characteristics, clinical features, and operative techniques. Results. ...
Das Sumit - - 2014
Pleomorphic xanthoastrocytoma (PXA) is a rare slow-growing neoplasm that has predilection for the supratentorial compartment and the temporal lobe. Children and young adults are most frequently affected and they usually present with medically refractory seizures. PXAs involving the spinal cord have been rarely documented. We describe a 15-year-old boy who ...
Crepeau Amy Z AZ Department of Neurology, Mayo Clinic, 5777 East Mayo Boulevard, Phoenix, AZ, 85054, USA, - - 2014
The special relationship between migraine and epilepsy has been recognized for centuries and was formally acknowledged by Gowers in his 1906 lecture "Borderland of Epilepsy." The term migralepsy was introduced by Lennox and Lennox in 1960, with multiple cases described in the literature since that time. In the ensuing years, ...
Yacubian Elza Márcia EM Unidade de Pesquisa e Tratamento das Epilepsias (UNIPETE), Hospital São Paulo, Departamento de Neurologia e Neurocirurgia, Universidade Federal de São Paulo, Rua Napoleão de Barros, 737, 13° andar, CEP-04024-002 São Paulo, SP, Brazil. Electronic address: - - 2014
There is increasing awareness that reflex epileptic mechanisms provide unique insight into ictogenesis in human epilepsies. Several of the described triggers have in common that they imply complex visuomotor coordination and decision-making; they are today regarded as variations of one principle, i.e. praxis induction (PI). This focused review considers PI ...
Pakozdy A A University Clinic for Small Animals, Clinical Department for Companion Animals and Horses, University of Veterinary Medicine, Vienna, - - 2014
The veterinary literature on epilepsy in cats is less extensive than that for dogs. The present review summarizes the most important human definitions related to epilepsy and discusses the difficulties in applying them in daily veterinary practice. Epileptic seizures can have a wide range of clinical signs and are not ...
Specchio Nicola N Neurology Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy. Electronic address: - - 2014
Dravet syndrome (DS) is a rare disorder with seizure onset in the first year of life, typically beginning with prolonged febrile hemiclonic seizures or generalized tonic-clonic seizures. Photosensitivity is reported in more than 40% of patients. We present two cases of DS in which we had the chance to record ...
Sofoudis C - - 2014
Tuberous sclerosis (TS) or tuberous sclerosis complex (TSC), also known as Bourneville disease or Bourneville-Pringle disease, is an autosomal dominant disorder classically characterized by the presence of hamartomatous growths in multiple organs. A combination of symptoms may include seizures, developmental delay, behavioral problems, skin abnormalities, and lung and kidney diseases. ...
Grabau Olga O Department of Neurology, Zentralklinik Bad Berka , Bad Berka , - - 2014
Recurrent oculomotor nerve palsies are extremely rare clinical conditions. Here, we report on a unique case of a short-lasting recurrent unilateral incomplete external and complete internal oculomotor nerve palsy. The episodic palsies were probably caused by an ipsilateral mesencephalic metastasis of a breast carcinoma and occurred after successful brain radiation ...
Birca Veronica - - 2013
Seizures can manifest with ictal swearing but few studies have investigated the localising value of this epileptic manifestation. In this case series and review of the literature, we attempted to determine whether ictal swearing could help localise the epileptic focus. We review two previously published cases and report eight additional ...
Boyd Michael - - 2013
Limbic encephalitis involving anti-voltage-gated potassium channel antibodies (VGKC-LE) has become increasingly recognised, with seizures and psychotic features, such as hallucinations being typical clinical manifestations. Though the literature supports auditory hallucinations as ictal phenomena, there are no reported cases of these hallucinations correlating with electrographic seizure for this disease entity. Early ...
Ghani Mikati Abdul - - 2013
Aim. Describe the seizure-related manifestations of guanidinoacetate methyltransferase (GAMT) deficiency in two new cases and compare these to the related literature. Methods. We reviewed the clinical and electroencephalographic manifestations of two siblings with GAMT deficiency. We also performed a thorough literature review of all cases of GAMT deficiency, using the ...
Taupin Daniel - - 2013
We present a patient with peritoneal carcinosarcoma who was treated with the alkylating agent ifosfamide and experienced a rapid decline in mental status. Electroencephalogram (EEG) displayed generalized periodic epileptiform discharges, which raised suspicion for nonconvulsive status epilepticus (NCSE). Following administration of midazolam, the patient's clinical condition and EEG improved. We ...
Cheng Bochao - - 2013
Gelastic epilepsy has been reported to originate from various conditions, particularly from hypothalamic hamartoma (HH). In the present study, we report a patient with gelastic seizures (GSs), followed by complex partial and tonic-clonic seizures. Magnetic resonance imaging (MRI) revealed a rare combination of HH and partial agenesis of the corpus ...
Mula Marco - - 2013
In epilepsy, experiential phenomena and behavioral manifestations may pose a number of problems in terms of differential diagnosis. From a clinical point of view, ictal psychiatric symptoms represent partial seizures, mainly partial ones. In the majority of cases, they are very brief (lasting from a few seconds to a few ...
Williamson Craig A - - 2013
Continuous EEG recordings (cEEGs) are increasingly used in evaluation of acutely ill adults. Pre-screening using compressed data formats, such as compressed spectral array (CSA), may accelerate EEG review. We tested whether screening with CSA can enable detection of seizures and other relevant patterns. Two individuals reviewed the CSA displays of ...
Brna P M - - 2013
The internet has become the first stop for the public and patients to seek health-related information. Video-sharing websites are particularly important sources of information for those seeking answers about seizures and epilepsy. Because of the widespread popularity of YouTube, we sought to explore whether a seizure diagnosis and classification could ...
Kellogg Robert G - - 2013
Fat embolism syndrome (FES) is a common clinical entity that can occasionally have significant neurological sequelae. The authors report a case of cerebral fat embolism and FES that required surgical management of intracranial pressure (ICP). They also discuss the literature as well as the potential need for neurosurgical management of ...
Asha Mohammed J - - 2013
'Goose-bumps' seizures are rare manifestations of epilepsy. They are rarely reported by patients and can be easily dismissed by clinicians. Clinically, it carries some diagnostic localising value especially with unilateral onset. In this report, we present a case of intraventricular glioblastoma multiforme with ipsilateral goose bumps and review the literature.
Whitney Robyn - - 2013
Reflex seizures are referred to as epileptic seizures that are consistently precipitated by a specific sensory stimulus. Reflex seizures induced by micturition are very rare, and few cases have been described. This study reports a case of an 11-year-old girl with seizures provoked by micturition with reference made to previously ...
Fanella Martina - - 2013
Juvenile myoclonic epilepsy (JME) is a frequent idiopathic generalised epilepsy syndrome with typical clinical and EEG features that can usually be controlled by valproate monotherapy. JME may be underdiagnosed or misdiagnosed; in the latter case, it may be mistaken for partial epilepsy. The incorrect diagnosis of JME is likely to ...
Verrotti Alberto - - 2013
Benign myoclonic epilepsy in infancy, classified among the generalised idiopathic epilepsies, is characterised by the occurrence of myoclonic seizures in the first three years of life in otherwise normal infants. Some authors have described cases of myoclonic seizures as a reflex response to sudden unexpected tactile or acoustic stimuli and ...
Posar Annio - - 2013
Epilepsy with continuous spike-waves during slow-wave sleep (CSWS) is often characterized by a severe cognitive and behavioral impairment. Symptomatic cases also include patients with an early-onset hydrocephalus, but in literature detailed neuropsychological data on these subjects are not available. We describe the results of serial cognitive assessments in a girl ...
Gozzi Graf Tiziana - - 2013
Insulinomas first presenting as refractory seizure disorders are well documented in adulthood but rarely found in children. Only a few cases of childhood insulinoma have been reported so far. We report on two adolescents with hyperinsulinaemic hypoglycaemia, initially misdiagnosed as epilepsy and migraine accompagnée, and compare those to other cases ...
Vande Voort Jennifer L - - 2013
ABSTRACT: Methohexital is a common anesthetic agent used for electroconvulsive therapy. In the adult literature, there are a few case reports of tonic-clonic seizures occurring immediately after the administration of methohexital. However, to date, there are no reports of this occurrence in children or adolescents. This case documents a generalized ...
Chauhan Urmila - - 2013
Myoclonic jerks presenting with fever have only rarely been reported and have often been misdiagnosed as febrile seizures. The presentation may be dramatic enough to provoke unnecessary investigation and treatment. Considering the benign nature of this condition, it is important that the condition is recognized by the physician so that ...
Bierhals Tatjana - - 2013
The routine use of molecular karyotyping in the evaluation of patients with idiopathic developmental delay with/without dysmorphic features, has led to the delineation of several submicroscopic deletion/duplication syndromes. De novo copy number variations are often presumed to be pathogenic and inherited ones from a healthy parent likely to be not ...
Brigo Francesco - - 2013
Nonconvulsive status epilepticus (NCSE) represents a diagnostic dilemma, and so far several different definitions and diagnostic criteria have been proposed in the literature order to address and try to solve the diagnostic problems related to this condition. NCSE is practically diagnosed as an enduring epileptic condition with reduced or altered ...
Dawodu C O - - 2013
Background: Rasmussen's encephalitis is an uncommon chronic inflammatory disease disorder of unknown etiology. Objectives: The aim of this report was to create an awareness of Rasmussen's encephalitis in our clinical practice in Africa. Materials and Methods: We searched online for literature on Rasmussen's encephalitis with an emphasis on documented cases ...
Pandya Neil S - - 2013
We report the rare case of a patient with intractable epilepsy and escalating aggression, resulting in murder, who had complete resolution of her seizures and explosive behavior following a right temporal lobectomy. We searched the available literature from 1880 to 2013 for cases of epilepsy being used as a court ...
Sande Abhijeet - - 2013
Progressive hemifacial atrophy, also known as Parry-Romberg Syndrome, is an uncommon degenerative and poorly understood condition. It is characterized by a slow and progressive but self-limited atrophy affecting one side of the face. The incidence and the cause of this alteration are unknown. A cerebral disturbance of fat metabolism has ...
Chen Hai-Fei - - 2013
A 41-year-old male had suffered from gradual hearing loss in his right ear for 2 years. Head computed tomography and magnetic resonance imaging scans showed a neoplasm in the cerebellopontine angle region, which was confirmed by the diagnosis of acoustic neurilemmoma by pathological findings after surgery. Following surgery, he routinely ...
Verma Rajesh - - 2013
Progressive facial atrophy or Parry-Romberg syndrome is characterized by slowly progressive facial atrophy involving skin, subcutaneous tissue, cartilage and bony structures. Apart from facial atrophy, it can be associated with diverse clinical manifestations including headache, partial seizures, trigeminal neuralgia, cerebral hemiatrophy and ocular abnormalities. The exact etiology is unknown although ...
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