By Dieter Schmidt, Steven C. Schachter
From pediatric to the aged, from contractible to refractive, epilepsy is an disease that manifests in lots of types and throughout more than a few demographics. during this attention-grabbing quantity, the writer info multiple hundred situations the place overall healthiness care practitioners confronted strange demanding situations in treating the disorder. All elements of epilepsy are explored via those circumstances, from the occasionally complicated preliminary prognosis to sufferer responses and therapy equipment. during this best-selling brief textual content, the writer additionally provides the teachings discovered from those awesome instances. a hundred and ten confusing situations in Epilepsy comes in handy for clinical scholars, citizens and all health and wellbeing care practitioners, because the practices used to appreciate those situations might be utilized to different diagnoses to boot.
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Extra resources for 110 Puzzling Cases of Epilepsy
Starting at the age of 4 years, carbamazepine was added for her complex partial seizures and her spasms continued with one ‘string’ a day despite nitrazepam. She appeared disoriented during a string of spasms and brieﬂy afterwards. Sadly, her development plateaued, especially her speech. The spasms continued, and at the age of 15 years, her complex partial seizures became more severe – she would wander aimlessly for up to 5 minutes during a complex partial seizure, which was obviously dangerous for her.
Treatment and outcome An anterior mesial frontal resection, which included the anterior half of the right superior frontal gyrus and the right anterior cingulate gyrus, was performed. This procedure resulted in complete seizure control. Postoperative histopathological examinations revealed a glioneural hamartoma within the anterior cingulate gyrus. 31 PANIC ATTACKS IN A WOMAN WITH FRONTAL LOBE EPILEPSY Because the patient has now been seizure-free for 24 months, we have started to taper her carbamazepine and lamotrigine.
In: Lyon G, Adams RD, Kolodny EH, eds. Neurology of Hereditary Metabolic Diseases of Children 2nd ed. New York: McGraw–Hill, 1996:148–50. Mole S, Gardiner M. Molecular genetics of the neuronal ceroid lipofuscinoses. Epilepsia 1999;40(suppl 3):29–32. Naqvi SZ, Beach RL, Armao DM, Greenwood RS. Photoparoxysmal response in late infantile neuronal ceroid lipofuscinosis. Ped Neurol 1998;19:395–8. Acknowledgement The author is grateful to Margaret Beirne, Chief EEG technician, for her assistance with the neurophysiological investigations in this patient.
110 Puzzling Cases of Epilepsy by Dieter Schmidt, Steven C. Schachter