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Seizure: the Journal of the British Epilepsy Association

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https://www.readbyqxmd.com/read/30218807/home-video-telemetry-in-children-a-comparison-to-inpatient-video-telemetry
#1
Sophie Carlson, Rosalind H Kandler, David Moorhouse, Athi Ponnusamy, Santosh R Mordekar, James J P Alix
PURPOSE: Home Video Telemetry (HVT) combines ambulatory EEG with simultaneous video recording. No previous reports have compared HVT and inpatient video telemetry (IVT) in a purely paediatric population. This study compares HVT and IVT in this group in terms of diagnostic efficacy, recording quality and acceptability to parents/carers. METHODS: 33 HVT and 29 IVT patients aged 1-17 years were included. Information regarding patient demographics, ictal capture, diagnostic utility, recording quality (e...
September 8, 2018: Seizure: the Journal of the British Epilepsy Association
https://www.readbyqxmd.com/read/30216856/lateralizing-and-localizing-value-of-seizure-semiology-comparison-with-scalp-eeg-mri-and-pet-in-patients-successfully-treated-with-resective-epilepsy-surgery
#2
Sherif Elwan, Andreas Alexopoulos, Diosely C Silveira, Prakash Kotagal
PURPOSE: To evaluate the lateralizing and localizing value of seizure semiology in patients who became completely seizure free after resective epilepsy surgery. METHODS: We analyzed seizures of patients who were seizure free after focal resection limited to the temporal lobe (30 patients), frontal lobe (27 patients), parietal lobe (8 patients) and occipital lobe (8 patients). Three investigators independently analyzed video segments of seizures blinded to clinical information and attempted to lateralize and localize the seizure focus, based on pre-defined criteria...
September 5, 2018: Seizure: the Journal of the British Epilepsy Association
https://www.readbyqxmd.com/read/30199820/estrogen-related-seizure-exacerbation-following-hormone-therapy-for-assisted-reproduction-in-women-with-epilepsy
#3
Barbara Mostacci, Roberta Esposto, Stefano Lello, Francesca Bisulli, Laura Licchetta, Paolo Tinuper
PURPOSE: Exogenous estrogens might lead to seizure worsening in women with epilepsy (WWE) by lowering the seizure threshold and inducing glucuronidation in women taking lamotrigine. Assisted reproduction techniques are increasingly used and often require estrogenic and estrogen raising hormone therapy. We aimed at reporting their possible impact on seizures in WWE. METHODS: We describe two cases of seizure exacerbation following hormone therapy for assisted reproduction in WWE...
August 30, 2018: Seizure: the Journal of the British Epilepsy Association
https://www.readbyqxmd.com/read/30195195/the-importance-of-the-study-of-brain-calcifications-in-patients-with-tuberous-sclerosis-complex
#4
LETTER
Eraldo Fonseca Dos Santos-Junior, João Ricardo Mendes de Oliveira
No abstract text is available yet for this article.
August 29, 2018: Seizure: the Journal of the British Epilepsy Association
https://www.readbyqxmd.com/read/30176574/comparison-of-etomidate-and-sodium-thiopental-for-induction-during-rapid-sequence-intubation-in-convulsive-status-epilepticus-a-retrospective-single-center-study
#5
François Perier, Anne-Laure Chateauneuf, Gwenaëlle Jacq, Mathilde Holleville, David Schnell, Sybille Merceron, Sébastien Cavelot, Olivier Richard, Stéphane Legriel
PURPOSE: Few outcome data are available about morbidity associated with endotracheal intubation modalities in critically ill patients with convulsive status epilepticus. We compared etomidate versus sodium thiopental for emergency rapid sequence intubation in patients with out-of-hospital convulsive status epilepticus. METHODS: Patients admitted to our intensive care unit in 2006-2015 were studied retrospectively. The main outcome measure was seizure and/or status epilepticus recurrence within 12 h after rapid sequence intubation...
August 28, 2018: Seizure: the Journal of the British Epilepsy Association
https://www.readbyqxmd.com/read/30218808/seizure-like-episodes-and-eeg-abnormalities-in-patients-with-long-qt-syndrome
#6
Alba González, Dag Aurlien, Pål G Larsson, Ketil Berg Olsen, Iselin T Dahl, Thor Edvardsen, Kristina H Haugaa, Erik Taubøll
PURPOSE: The congenital long QT-syndrome (cLQTS) is characterized by ventricular arrhythmias, syncope and sudden cardiac death. Many LQTS genes are also expressed in the brain and emerging evidence suggest that cardiac channelopathies can also cause epilepsy. The aim of the study is to explore evidence of epilepsy and/or EEG abnormalities in a cohort with a genotyped diagnosis of LQT1 or LQT2. METHODS: Adult patients were randomly selected from the outpatient clinic and a random sample of healthy controls were recruited from the general population...
August 27, 2018: Seizure: the Journal of the British Epilepsy Association
https://www.readbyqxmd.com/read/30172997/trend-of-subsequent-epilepsy-in-children-with-recurrent-febrile-seizures-a-retrospective-matched-cohort-study
#7
Jeng-Dau Tsai, Chih-Hsin Mou, Hsing-Yi Chang, Tsai-Chung Li, Henry J Tsai, Chang-Ching Wei
PURPOSE: Trends of epilepsy in children were correlated with febrile seizure (FS) in a previous retrospective study. In the present study, the authors obtained relevant data from a nationwide cohort database to investigate trends in subsequent epilepsy in children with a history of recurrent FS. METHODS: A total of 10,210 children with FS comprised the cohort. The diagnosis date was used as the index date. A comparison cohort was randomly matched with each case based on age, sex, urbanization level, parents' occupation, and index date...
August 27, 2018: Seizure: the Journal of the British Epilepsy Association
https://www.readbyqxmd.com/read/30176392/what-should-drive-epilepsy-research
#8
EDITORIAL
Mamta Bhushan Singh
No abstract text is available yet for this article.
August 24, 2018: Seizure: the Journal of the British Epilepsy Association
https://www.readbyqxmd.com/read/30179844/estimating-the-cost-of-admissions-related-to-convulsive-status-epilepticus-in-the-united-states-of-america
#9
Iván Sánchez Fernández, Tobias Loddenkemper
PURPOSE: To estimate the cost of admissions related to status epilepticus (SE) in the USA and to evaluate SE mortality. METHOD: Descriptive retrospective study using national estimates from the KID's Inpatient Database (KID) for children and from the National Inpatient Sample (NIS) for adults for the years 2007-2012, the largest collection of all-payer, encounter-level hospital care data in the United States. The individual observation in this study is hospital admission...
August 19, 2018: Seizure: the Journal of the British Epilepsy Association
https://www.readbyqxmd.com/read/30172139/reliability-of-the-early-syndromic-diagnosis-in-adults-with-new-onset-epileptic-seizures-a-retrospective-study-of-116-patients-attended-in-the-emergency-room
#10
E Fonseca Hernández, M Olivé Gadea, M Requena Ruiz, M Quintana, E Santamarina Pérez, L Abraira Del Fresno, J Álvarez Sabín, X Salas Puig, M Toledo
PURPOSE: New-onset seizures (NOS) are a common reason for emergency department (ED) consultations. Decisions regarding treatment and further examinations are made based on the initial evaluation. We aimed to evaluate the reliability of the early syndromic diagnosis in NOS and find predictive factors to establish a consistent early diagnosis based on the semiology and prompt supplementary examinations. METHODS: We recruited patients attended in our ED for NOS over 2 years (2014-2015), excluding patients with a loss of consciousness of suspected non-epileptic origin...
August 18, 2018: Seizure: the Journal of the British Epilepsy Association
https://www.readbyqxmd.com/read/30170299/left-ventricular-myocardial-deformation-abnormalities-in-seizure-free-children-with-epilepsy
#11
Serkan Fazlı Çelik, Emre Baratalı, Ahmet Sami Güven, Yasemin Altuner Torun
PURPOSE: Although there is a higher risk of structural cardiac disease in people with epilepsy, there is no detailed advanced analysis of cardiac functions in patients with epilepsy. This study aimed to determine early echocardiographic findings of Left Ventricular (LV) dysfunction using cardiac strain technique in seizure-free children with epilepsy. METHOD: The study investigated 60 children with epilepsy who had no seizures in the preceding 6 months, without any known cardiovascular disease and treated with one antiepileptic drug and 60 healthy subjects who underwent clinical evaluation including electrocardiography (ECG), standard echocardiography, tissue Doppler imaging (TDI) and two-dimensional Speckle Tracking Echocardiography (2DSTE)...
August 18, 2018: Seizure: the Journal of the British Epilepsy Association
https://www.readbyqxmd.com/read/30145472/diagnostic-criteria-to-aid-the-differential-diagnosis-of-patients-presenting-with-transient-loss-of-consciousness-a-systematic-review
#12
REVIEW
Alistair Wardrope, Ellen Newberry, Markus Reuber
BACKGROUND: Transient loss of consciousness (TLOC) is a common presentation in primary care. Over 90% of these are due to epileptic seizures (ES), syncope, or psychogenic non-epileptic seizures (PNES). Misdiagnosis rates are as high as 30%. METHODS: Systematic review of inter-ictal clinical criteria to aid differential diagnosis of TLOC. We searched Medline, EMBASE, CINAHL and PsycInfo databases, as well as relevant grey literature depositories and citations of relevant reviews and guidelines for studies giving sensitivity and specificity of inter-ictal clinical characteristics used to differentiate between causes of TLOC...
August 16, 2018: Seizure: the Journal of the British Epilepsy Association
https://www.readbyqxmd.com/read/30142618/two-predictors-of-postictal-generalized-eeg-suppression-tonic-phase-duration-and-postictal-immobility-period
#13
Marjan Asadollahi, Mahyar Noorbakhsh, Leila Simani, Mahtab Ramezani, Kurosh Gharagozli
PURPOSE: To determine the effect of different seizure characteristics on the occurrence of postictal generalized EEG suppression (PGES). PGES is considered as a potential risk factor of sudden unexpected death in epilepsy (SUDEP) by several studies. METHODS: In this retrospective cross-sectional study, episodes of generalized convulsive seizures (GCS) were reviewed in regard to state at seizure-onset, the seizure and tonic phase durations, postictal immobility (PI) duration and whether the patient received oxygen (O2) mask during the post-ictal phase...
August 16, 2018: Seizure: the Journal of the British Epilepsy Association
https://www.readbyqxmd.com/read/30138824/the-role-of-ceeg-as-a-predictor-of-patient-outcome-and-survival-in-patients-with-intraparenchymal-hemorrhages
#14
Mallika Purandare, Alexa N Ehlert, Henri Vaitkevicius, Barbara A Dworetzky, Jong Woo Lee
PURPOSE: The objective of this study was to determine if continuous electroencephalography (cEEG) results are associated with functional outcome and survival in critically ill patients with intraparenchymal hemorrhages (IPH). METHODS: Patients diagnosed with IPH were selected using a Critical Care EEG Monitoring Consortium Database at Brigham and Women's Hospital in Boston. Functional Outcome in Patients with Primary Intracerebral Hemorrhage (FUNC) scores and Intracerebral Hemorrhage (ICH) scores were calculated as covariates...
August 15, 2018: Seizure: the Journal of the British Epilepsy Association
https://www.readbyqxmd.com/read/30153626/national-survey-of-factors-associated-with-repeated-admissions-due-to-febrile-seizure
#15
Yusuke Okubo, Atsuhiko Handa, Hiroki Nariai
PURPOSE: Several studies reported recent trends in febrile seizure (FS) in terms of prevalence, incidence, and hospitalization rates at a national level in the USA. However, no studies have revealed risk factors for repeated admissions due to FS. METHOD: We extracted discharge records of patients with FS aged < 6 years for the years 2010-14 using the Nationwide Readmission. Data were weighted to estimate the readmission rates and ascertain the factors associated with readmission due to FS, using multivariable negative binomial regression and Cox proportional hazard models...
August 13, 2018: Seizure: the Journal of the British Epilepsy Association
https://www.readbyqxmd.com/read/30125861/the-role-of-magnetoencephalography-in-the-presurgical-evaluation-of-patients-with-mri-negative-operculo-insular-epilepsy
#16
Tao Yu, Duanyu Ni, Xiating Zhang, Xueyuan Wang, Liang Qiao, Xiaoxia Zhou, Yuping Wang, Yongjie Li, Guojun Zhang
PURPOSE: Magnetoencephalography (MEG) is considered to be a useful clinical tool to provide additional information for localising the epileptogenic zone or planning intracranial electrode implantation. This study aimed to evaluate the value of MEG in the presurgical localisation of the operculo-insular epileptogenic zone in patients with negative magnetic resonance imaging (MRI). METHODS: Thirteen patients with operculo-insular epilepsy and negative MRI who were identified by presurgical evaluation and underwent resective surgery from January 2011 to June 2015 were included and analysed in the study...
August 13, 2018: Seizure: the Journal of the British Epilepsy Association
https://www.readbyqxmd.com/read/30179843/seizures-after-transplantation
#17
REVIEW
Peijia Lin, Xin Tian, Xuefeng Wang
PURPOSE: To summarize information on the history, incidence, clinical manifestation, best treatment, as well as prognosis of seizures in transplant recipients. METHODS: In October 2017, we searched the literature on PubMed in English with the search terms: "transplantation" AND "seizure", "transplantation" AND "epilepsy", "transplantation"AND "status epilepticus", "immunosuppressant" AND "seizure", "immunosuppressant" AND "epilepsy"...
August 12, 2018: Seizure: the Journal of the British Epilepsy Association
https://www.readbyqxmd.com/read/30118929/ictal-nausea-and-vomiting-is-it-left-or-right
#18
Alexander A Tarnutzer, Ian Mothersill, Lukas L Imbach
PURPOSE: Ictal nausea/vomiting has been linked to the non-dominant hemisphere and has been considered a lateralizing sign. However, small case series and single cases have reported seizure localisation in the dominant hemisphere. Here we aimed to determine the seizure localisation and lateralization in cases with ictal nausea/retching/vomiting to test the hypothesis that these signs are of lateralizing value. METHODS: We searched two large tertiary epilepsy-center video-EEG databases (period: 1980-2017) for reports on ictal nausea/retching/vomiting and retrieved ictal EEG seizure location, lateralization and clinical symptoms...
August 12, 2018: Seizure: the Journal of the British Epilepsy Association
https://www.readbyqxmd.com/read/30118931/does-emergent-implantation-of-a-vagal-nerve-stimulator-stop-refractory-status-epilepticus-in-children
#19
Daniele Grioni, Andrea Landi, Leonardo Fiori, Erik Pietro Sganzerla
PURPOSE: Status Epilepticus can be a serious life threatening event in epileptic patients. The definition of refractory or super-refractory Status Epilepticus was based on the therapeutic response to anti-epileptic and anesthetic drugs. Vagal Nerve Stimulation showed efficacy in treating drug-resistant epilepsy but there are only few reports on emergentplacement of Vagal Nerve Stimulator for refractory or super-refractory Status Epilepticus. METHODS: Among 49 children implanted at our Institution with Vagal Nerve Stimulation for drug-resistant epilepsy, the authors retrospectively identified those implanted for refractory or super-refractory Status Epilepticus, according with the current definitions...
August 11, 2018: Seizure: the Journal of the British Epilepsy Association
https://www.readbyqxmd.com/read/30118928/long-term-retention-rates-of-antiepileptic-drugs-used-in-acute-seizures
#20
Manuel Toledo, Elena Fonseca, Marta Olivé, Manuel Requena, Manuel Quintana, Laura Abraira-Del-Fresno, Xavier Salas-Puig, Estevo Santamarina
PURPOSE: A number of antiepileptic drugs (AEDs) are currently available for treating acute seizures. It is recommended to select the initial treatment option according to the type of epileptic syndrome and the patient's clinical characteristics, but little is known about the long-term retention rates of AEDs started in the emergency department. METHODS: We recruited patients admitted with seizures over a two-year period. All patients underwent early neurological assessment, EEG testing, and neuroimaging...
August 11, 2018: Seizure: the Journal of the British Epilepsy Association
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