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Epilepsy & Behavior Case Reports

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https://www.readbyqxmd.com/read/29085777/a-case-of-pure-gelastic-seizures-due-to-hypothalamic-hamartoma-with-a-benign-course
#1
T D Gosavi, M C Walker
Hypothalamic hamartoma is a potentially complex entity with diverse clinical manifestations. We report a case of gelastic seizures associated with a hypothalamic hamartoma, which followed a benign course. A 31-year-old woman with episodes of laughter was referred for diagnostic evaluation. Her initial MRI and EEG were reported as normal. However, her episodes of laughter were typical of gelastic seizures from history and video review. Repeat MRI revealed a small HH. She declined any medical treatment and was medication free until last follow-up...
2017: Epilepsy & Behavior Case Reports
https://www.readbyqxmd.com/read/29062692/efficacy-of-perampanel-in-a-patient-with-epilepsia-partialis-continua
#2
H Argente-Escrig, A Gómez-Ibáñez, V Villanueva
Perampanel is the first-in-class selective and noncompetitive α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptor antagonist. It is authorized in the U.S. and Europe as an add-on antiepileptic drug for partial-onset seizures, and for primary generalized tonic-clonic seizures. Single reports have also indicated a potential efficacy for myoclonic jerks. Here, we report a patient whose drug-resistant epilepsia partialis continua completely resolved after adding perampanel. She has remained seizure-free in an eighteen-month follow-up period...
2017: Epilepsy & Behavior Case Reports
https://www.readbyqxmd.com/read/29062691/new-onset-refractory-status-epilepticus-due-to-primary-angiitis-of-the-central-nervous-system
#3
Rawan K Matar, Bader Alshamsan, Saleh Alsaleh, Hindi Alhindi, Khalid O Alahmedi, Sami Khairy, Salah Baz
Primary Angiitis of the central nervous system is a rare and poorly understood variant of vasculitis. We narrate a case of a 46-year-old male who presented with new onset refractory status epilepticus mimicking autoimmune encephalitis. In this case we are reporting clues that could be useful for diagnosis and extensive literature review on the topic.
2017: Epilepsy & Behavior Case Reports
https://www.readbyqxmd.com/read/29062690/paroxysmal-dysphasia-in-a-68%C3%A2-year-old-man-enhancing-the-mri-spectrum
#4
Ugur Sener, William O Tatum, Alfredo Quinones-Hinojosa, Deependra Mahato, Anteneh M Feyissa
Brain tumor-related epilepsy is a common complication of primary and metastatic brain tumors with seizures often representing the first manifestation of the tumor. The size and location of the tumor can make detection of epileptiform discharges on scalp electroencephalogram and safe surgical resection challenging. We describe a case of a patient with glioblastoma multiforme presenting as dominant temporal lobe epilepsy. Seizures were manifest as episodes of speech arrest on a background of long-standing history of episodic speech difficulty and headache...
2017: Epilepsy & Behavior Case Reports
https://www.readbyqxmd.com/read/29062689/occipital-dysembryoplastic-neuroepithelial-tumor-presenting-as-adult-onset-temporal-epilepsy
#5
Riddhi Patira, Cody Nathan, Sarah Zubkov, Camilo Gutierrez, Charles Munyon, Abir Mukherjee, Mercedes Jacobson
Dysembryoplastic neuroepithelial tumor (DNET) is a benign brain tumor which commonly presents as childhood-onset temporal lobe epilepsy (TLE). We present a case of histologically proven DNET with a clinical presentation and scalp EEG suggestive of adult-onset TLE. MRI showed an occipital lesion. PET showed abnormal metabolism of the occipital lesion and the ipsilateral temporal lobe; raising concern for an abnormal functional network reorganization. Intracranial EEG showed interictal spikes and seizures originating from the occipital lesion with no seizures emanating from the temporal lobe...
2017: Epilepsy & Behavior Case Reports
https://www.readbyqxmd.com/read/29034166/post-lobotomy-epilepsy-illustrated-by-the-story-of-ellinor-hamsun-the-daughter-of-the-famous-norwegian-author-knut-hamsun
#6
Mia Tuft, Karl O Nakken
In Scandinavia, at least 11.500 people were lobotomized in the period 1939-1983. Beside grave personality changes, the surgery caused epilepsy in 10-35% of the patients. Moreover, many died due to perioperative bleedings, convulsive status epilepticus or SUDEP. Most of the stories of these people are anonymous and their post-lobotomy lives are scarcely documented. If it was not for the fact that Ellinor Hamsun (1916-1987) was the daughter of the famous Nobel Prize winning Norwegian author Knut Hamsun, her lobotomy story and the subsequent iatrogenic epilepsy would probably have remained unknown...
2017: Epilepsy & Behavior Case Reports
https://www.readbyqxmd.com/read/28951835/effect-of-plasmapheresis-on-serum-levels-of-clobazam-levetiracetam-and-topiramate
#7
To Harmony Hau Man, Chang Richard Shek-Kwan, Chan Angel On-Kei, Chan Phoebe Wing Lam
A 27-year-old man with a diagnosis of new onset refractory status epilepticus (NORSE) was treated with five anti-seizure drugs (ASDs) including clobazam, levetiracetam and topiramate. He received plasma exchange (PE) for presumed autoimmune etiology. Serum ASD levels were serially monitored in two sessions. Levels of clobazam, levetiracetam and topiramate were significant reduced by PE. Serum clobazam level dropped down to at least 85% and 75% of the baseline during and after the procedure respectively; levetiracetam dropped down to 83% and 83%; and topiramate dropped to 86% and 79%...
2017: Epilepsy & Behavior Case Reports
https://www.readbyqxmd.com/read/28948142/lacosamide-for-refractory-generalized-tonic-clonic-seizures-of-non-focal-origin-in-clinical-practice-a-clinical-and-veeg-study
#8
Belén Abarrategui, María Eugenia García-García, Rafael Toledano, Beatriz Parejo-Carbonell, Antonio Gil-Nagel, Irene García-Morales
•7 of 9 patients with GGE reduced ≥ 50% their tonic-clonic seizure frequency on LCM.•All 7 patients remained seizure free for > 1 year, and 2 of them for > 5 years.•In 2 of the 9 patients, both with Juvenile Absence Epilepsy, absences aggravated.•One aggravation consisted on a myoclonia and absence status, in a patient with no history of myoclonia.•VEEG paralleled clinical improvement but didn't change in a case of absence worsening.
2017: Epilepsy & Behavior Case Reports
https://www.readbyqxmd.com/read/28913167/ictal-conduction-aphasia-and-ictal-angular-gyrus-syndrome-as-rare-manifestations-of-epilepsy-the-importance-of-ictal-testing-during-video-eeg-monitoring
#9
Johann Philipp Zöllner, Anja Haag, Anke Hermsen, Sebastian Bauer, Friederike Stahl, Karina Wulf, Katja Menzler, Philipp S Reif, Marlies Wagner, Axel Pagenstecher, Ulrich Sure, Susanne Knake, Felix Rosenow, Adam Strzelczyk
The aim of these two case reports is to demonstrate that a predefined, structured, multimodal clinical bed-side testing during seizures in a long-term video-EEG monitoring setting facilitates diagnosis of complex neuropsychological syndromes. To the best of our knowledge, we present the first case of conduction aphasia as the sole ictal semiology, and a patient with focal seizures producing an angular gyrus syndrome in the speech dominant hemisphere. The relevance of diagnosing ictal aphasic and angular gyrus syndromes and localizing the symptomatogenic zone is discussed...
2017: Epilepsy & Behavior Case Reports
https://www.readbyqxmd.com/read/28879091/desensitization-of-stimulation-induced-weight-loss-a-secondary-finding-in-a-patient-with-vagal-nerve-stimulator-for-drug-resistant-epilepsy
#10
Fawad A Khan, Mugilan Poongkunran, Bonnie Buratto
No abstract text is available yet for this article.
2017: Epilepsy & Behavior Case Reports
https://www.readbyqxmd.com/read/28879090/faciobrachial-dystonic-seizures-result-from-fronto-temporo-basalganglial-network-involvement
#11
Rajesh Shankar Iyer, T C R Ramakrishnan, Karunakaran, Ajit Shinto, Koramadai Karuppuswamy Kamaleshwaran
•Faciobrachial dystonic seizures (FBDS) are caused by autoantibodies to leucine-rich glioma-inactivated1 proteins, a component of the voltage-gated potassium channel complex (VGKC-complex) and precede the clinical presentation of limbic encephalitis.•The exact pathophysiology of FBDS is not known and whether they are seizures or movement disorder is still debated.•We suggest the fronto-temporo-basal ganglia network involving the medial frontal and temporal regions along with the corpus striatum and substantia nigra being responsible for the clinical phenomenon of FBDS...
2017: Epilepsy & Behavior Case Reports
https://www.readbyqxmd.com/read/28856097/efficacy-of-perampanel-for-controlling-seizures-and-improving-neurological-dysfunction-in-a-patient-with-dentatorubral-pallidoluysian-atrophy-drpla
#12
Hideaki Shiraishi, Kiyoshi Egawa, Tomoshiro Ito, Osamu Kawano, Naoko Asahina, Shinobu Kohsaka
We administered perampanel (PER) to a bedridden 13-year-old male patient with dentatorubral-pallidoluysian atrophy (DRPLA). The DRPLA diagnosis was based on the presence of a CAG trinucleotide repeat in the ATN1 gene. The patient experienced continuous myoclonic seizures and weekly generalized tonic-clonic seizures (GTCs). PER stopped the patient's myoclonic seizures and reduced the GTCs to fragmented clonic seizures. The patient recovered his intellectual abilities and began to walk again with assistance. We suggest that PER be considered as one of the key drugs used to treat patients with DRPLA...
2017: Epilepsy & Behavior Case Reports
https://www.readbyqxmd.com/read/28856096/post-ictal-atrial-fibrillation-detected-during-video-eeg-monitoring-case-report-proposed-physiopathologic-mechanism-and-therapeutic-considerations
#13
Alvaro Sanchez-Larsen, Gemma Aznar-Lain, Begoña Benito, Alessandro Principe, Miguel Ley, Adrià Tauste Campo, Rodrigo Rocamora
No abstract text is available yet for this article.
2017: Epilepsy & Behavior Case Reports
https://www.readbyqxmd.com/read/28794986/west-syndrome-in-three-patients-with-brain-injury-and-a-benign-course
#14
Angelo Russo, Michael Duchowny, Antonella Boni, Melania Giannotta, Melissa Filippini, Giuseppe Gobbi
Infants with West Syndrome and underlying structural pathology typically experience persistent symptomatic focal seizures and intellectual disability. We performed a retrospective case review of 84 patients with West Syndrome evaluated at one institution between 1990 and 2013. From this group we identified three patients with West syndrome and congenital hemiplegia who later developed genetic epilepsy features and had normal intellectual development. This outcome is highly unusual and raises important questions about the relationship and possible influence of genetic epilepsy in patients with pre-existent West Syndrome and brain injury...
2017: Epilepsy & Behavior Case Reports
https://www.readbyqxmd.com/read/28794985/vertical-gaze-palsy-due-to-medication-error
#15
Shishir Rao, Meghan Harper-Shankie, Rajkumar Agarwal
We present a teenage boy with recent onset of seizures, who was erroneously treated with a large dose of an antiseizure medication as a result of drug mix-up. The ensuing drug toxicity caused vertical gaze palsy, an unusual manifestation related to overdose of the agent. Timely recognition of the error and discontinuation of the drug resulted in complete recovery to baseline.
2017: Epilepsy & Behavior Case Reports
https://www.readbyqxmd.com/read/28752061/lethal-neonatal-rigidity-and-multifocal-seizure-syndrome-with-a-new-mutation-in-brat1
#16
Yalcin Celik, Cetin Okuyaz, Ali Ertug Arslankoylu, Serdar Ceylaner
Rigidity and Multifocal Seizure Syndrome, Lethal Neonatal (RMFSL) (OMIM# 614498) is a rare and recently characterized epileptic encephalopathy that is related to variants in the BRAT1 gene (Breast Cancer 1-associated ataxia telangiectasia mutated activation-1 protein). In this report, an RMFSL case, who died in the 10th month of the life, with rigidity, drug-resistant myoclonic seizures in the face and extremities, with, significant motor delays is presented. The exon sequence was determined and a new homozygous variant (C...
2017: Epilepsy & Behavior Case Reports
https://www.readbyqxmd.com/read/28725554/successful-surgical-management-of-new-onset-refractory-status-epilepticus-norse-presenting-with-gelastic-seizures-in-a-3%C3%A2-year-old-girl
#17
Ahmad Marashly, Sean Lew, Jennifer Koop
Gelastic seizures (GS) are typically associated with hypothalamic hamartomas and present during childhood. However it is now known that GS can be found in focal epilepsies arising from other regions in the brain, including mesial and neocortical frontal, temporal and parietal regions. GS have rarely been described as the presenting manifestation of New Onset Refractory Status Epilepticus (NORSE). In this article we describe a previously healthy 3-year-old who presented with an explosive onset of GS that were refractory to multiple anti-seizure medications...
2017: Epilepsy & Behavior Case Reports
https://www.readbyqxmd.com/read/28664038/case-report-epilepsy-surgical-outcome-for-epileptic-and-non-epileptic-seizures-with-posttraumatic-stress-disorder-and-depression
#18
Mazen Basheikh
A 48-year-old male was diagnosed with both drug resistant epilepsy and psychogenic nonepileptic seizures. Both diagnoses were confirmed by video-EEG monitoring. His epileptic seizures were a consequence of right mesial temporal sclerosis. He was diagnosed by a psychiatrist to have depression and posttraumatic stress disorder (PTSD). Following a right anterior temporal resection he became seizure free (both epileptic and nonepileptic) with a remarkable improvement in his psychiatric comorbidities leading to significant reduction in his psychotropic medications...
2017: Epilepsy & Behavior Case Reports
https://www.readbyqxmd.com/read/28652973/influenza-associated-seizures-in-healthy-adults-report-of-3-cases
#19
Aintziñe Ruisanchez-Nieva, Amaia Martinez-Arroyo, Marian Gomez-Beldarrain, Jone Bocos Portillo, Juan Carlos Garcia-Monco
To describe seizures occurring in 3 healthy adults with influenza infection. Seizures associated to influenza infection are rare in adults without encephalitis. Clinical observations of 3 healthy adult patients with influenza A and B infection and seizures. We present here 3 healthy adult patients with seizures related to influenza A or B infection without evidence encephalitis, encephalopathy or any other cause for seizures. Prognosis was excellent. Seizures can occur in healthy adults with influenza infection without evidence of encephalitis, a possibility to be borne in mind to avoid potentially harmful therapeutic and diagnostic procedures...
2017: Epilepsy & Behavior Case Reports
https://www.readbyqxmd.com/read/28649495/non-hyperammonaemic-valproate-encephalopathy-after-20%C3%A2-years-of-treatment
#20
Elizabeth Caruana Galizia, Jeremy D Isaacs, Hannah R Cock
Sodium valproate is a commonly used antiseizure drug with broad indications for different seizuretypes and epilepsy syndromes. Well-recognised side effects include weight gain, tremor, dizziness, and unsteadiness. Non-hyperammonaemic parkinsonism, with or without cognitive impairment, is a rare adverse effect of sodium valproate. We present the case of a sixty year-old lady with a generalized seizure disorder, treated with phenytoin, valproate, lamotrigine and clonazepam. Following withdrawal of phenytoin she developed an akinetic-rigid syndrome, with ataxia and marked cognitive impairment...
2017: Epilepsy & Behavior Case Reports
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