ABSTRACT
Stroke is one of the most frequent causes of acute symptomatic status epilepticus. The aim of this study was to investigate the electroclinical features of status epilepticus in acute ischemic stroke. Nine consecutively admitted patients with status epilepticus during ischemic stroke were examined: five of them had convulsive unilateral or generalized status epilepticus for from 24 hours to 9 days after a large hemispheric infarction, always associated with EEG epileptiform abnormalities; the remaining four had focal motor status epilepticus during the first 24 hours after a small cortical or subcortical infarction, and showed no clear EEG changes. Status epilepticus in acute ischemic stroke may have two distinct electroclinical patterns of different prognostic significance.
Subject(s)
Brain Ischemia/physiopathology , Cerebrovascular Disorders/physiopathology , Status Epilepticus/physiopathology , Aged , Brain Ischemia/complications , Cerebrovascular Disorders/complications , Electroencephalography , Electromyography , Female , Humans , Male , Middle Aged , Status Epilepticus/complicationsABSTRACT
We report two patients with no history of psychosis or epilepsy presenting with acute psychosis and epileptic seizures as the initial symptom of late-onset epilepsy. Seizures and psychosis resolved with phenytoin. Case 1 presented a recurrence of both psychosis and seizures following abrupt withdrawal of antiepileptic drugs.
Subject(s)
Epilepsy/diagnosis , Neurocognitive Disorders/diagnosis , Aged , Cerebral Cortex/drug effects , Dose-Response Relationship, Drug , Drug Therapy, Combination , Electroencephalography/drug effects , Epilepsy/drug therapy , Epilepsy, Complex Partial/diagnosis , Epilepsy, Complex Partial/drug therapy , Epilepsy, Tonic-Clonic/diagnosis , Epilepsy, Tonic-Clonic/drug therapy , Female , Haloperidol/administration & dosage , Humans , Male , Neurocognitive Disorders/drug therapy , Phenytoin/administration & dosageABSTRACT
We report two patients who developed focal abnormalities on MRI after partial status epilepticus. Maximum radiological modification occurred in the area of maximal epileptic discharge. Subsequent MRI failed to demonstrate persistent abnormalities. These transient abnormalities on MRI could be an expression of cerebral edema caused by focal epileptic status.
Subject(s)
Status Epilepticus/pathology , Adult , Female , Humans , Magnetic Resonance Imaging , Time FactorsABSTRACT
Since the age of 2, a 16-year-old mentally retarded epileptic girl has had sudden bursts of rapid blinking associated with upward eye deviation and triggered by active or passive head movements. Video EEG monitoring excluded an epileptic origin. Of several hypotheses (brainstem or basal ganglia dysfunction, vestibular origin, and tics), none fully explains this peculiar movement disorder, the origin of which remains unclear.
Subject(s)
Blinking , Head/physiology , Intellectual Disability/physiopathology , Movement Disorders/etiology , Adolescent , Epilepsy/etiology , Female , Humans , Intellectual Disability/complications , Movement Disorders/physiopathologyABSTRACT
Somato-inhibitory status epilepticus is a rare condition which may pose some problems of differential diagnosis. The authors describe the case of a girl who suffered from episodes of prolonged ictal paralysis lasting from some minutes to some hours. One seizure was described 2 hours from onset. The EEG showed a continuous spike activity on the right side, predominantly on the parieto-rolandic areas. Status was stopped by the administration of clobazam per os. The physiopathological mechanism of this rare form of status epilepticus is discussed.
Subject(s)
Electroencephalography , Epilepsy, Temporal Lobe/diagnosis , Hemiplegia/diagnosis , Adolescent , Evoked Potentials , Female , HumansABSTRACT
Arteriovenous malformations (AVMs) of the spinal cord are a rare occurrence in the pediatric age group. This report describes the successful, complete removal of such a lesion in a boy age 12. The clinico-radiological findings and different treatment modalities of these entities are reviewed.
Subject(s)
Arteriovenous Malformations/surgery , Spinal Cord/blood supply , Arteriovenous Malformations/diagnostic imaging , Child , Humans , Male , Radiography , Spinal Cord/diagnostic imaging , Subarachnoid Hemorrhage/etiologyABSTRACT
A case of spinal meningocele is reported in which erosion of adjacent vertebral bodies and stretching of some roots coexisted. The neurological picture cleared after neurolysis and repair of the anterior thecal continuity.
Subject(s)
Meningocele/surgery , Humans , Male , Meningocele/diagnostic imaging , Middle Aged , Radiography , Thoracic VertebraeABSTRACT
The authors report a rare case of intramedullary teratoid cyst, in which an arteriovenous malformation of the spinal cord was first suspected. The controversial problem of the histogenesis of teratomas is reviewed. The authors stress the benign course of these lesions after operation, even when radical surgery cannot be performed.
