By Dieter Schmidt, Steven C. Schachter
From pediatric to the aged, from contractible to refractive, epilepsy is an disorder that manifests in lots of types and throughout quite a number demographics. during this attention-grabbing quantity, the writer information a couple of hundred circumstances the place health and wellbeing care practitioners confronted strange demanding situations in treating the illness. All facets of epilepsy are explored via those instances, from the occasionally complicated preliminary analysis to sufferer responses and remedy equipment. during this best-selling brief textual content, the writer additionally offers the teachings realized from those impressive situations. one hundred ten perplexing situations in Epilepsy turns out to be useful for scientific scholars, citizens and all overall healthiness care practitioners, because the practices used to appreciate those circumstances could be utilized to different diagnoses to boot.
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Extra info for 110 Puzzling Cases of Epilepsy
Ann Indian Acad Neurol 1999;2:9–14. Jain S, Padma MV, Narula A, Maheshwari MC. EEG photosensitivity and response to valproate segregate together in Indians with juvenile myoclonic epilepsy. Neurol J Southeast Asia 1999;4:61–6. 37 Case 11 THE VALUE OF DIAGNOSTIC PERSISTENCE Gregory L Krauss History The patient is a 26-year-old right-handed woman with a history of complex partial seizures beginning at approximately 1 year of age. She typically had one or two complex partial or secondary generalized seizures every morning with as many as 50–60 seizures in one day.
1). Further review of the MRI and comparison with subtraction interictal–ictal SPECT scans co-registered with MRI (see Fig. 1) discovered an abnormal gyrus in the right temporal pole with a focal cortical dysplasia. 1: From left to right, interictal SPECT showing a right temporal hypoperfusion, ictal SPECT showing a right temporal hyperperfusion, subtraction image locating the ictal onset focus, and MRI showing a subtle cortical abnormality in the right temporal pole, in a 2 -year-old girl presenting with refractory partial seizures.
The anterior cingulate gyrus maintains massive interconnections, both with the limbic system and with the frontal, temporal and parietal neocortex. Therefore, cingulate seizures can have different possible propagation pathways, which may be responsible for the variability of their expression as seizures. Thus patients suffering from cingulate epilepsy can present with ﬁndings that are normally associated with epileptogenic foci in different areas of the brain. Ictal symptoms may include, for instance, somatosensory feelings, absence-like arrest, fear, vocalizations and verbalizations as well as complex (hypermotor) movements.
110 Puzzling Cases of Epilepsy by Dieter Schmidt, Steven C. Schachter