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EEG in Common Epilepsy Syndromes

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Predictors of outcome in childhood Plasmodium falciparum malaria.

Harsita Patel, Claire Dunican, Aubrey J Cunnington,

Plasmodium falciparum malaria is classified as either uncomplicated or severe, determining clinical management and providing a framework for understanding pathogenesis. Severe malaria in children is defined by the presence of one or more features associated with adverse outcome, but there is wide variation in the predictive value of these features. ... Read more >>

Virulence (Virulence)
[2020, 11(1):199-221]

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Analyzing clinical and genetic characteristics of a cohort with multiple congenital anomalies-hypotonia-seizures syndrome (MCAHS).

Xianru Jiao, Jiao Xue, Pan Gong, Xinhua Bao, Ye Wu, Yuehua Zhang, Yuwu Jiang, Zhixian Yang,

OBJECTIVE:To summarize and extend the phenotypic characterization of Multiple Congenital Anomalies-Hypotonia-Seizures Syndrome, and to discuss genotype-phenotype correlations. METHODS:Collecting clinical information of 17 patients with pathogenic variants in PIGN, PIGA, and PIGT. Genetic studies were performed on all patients. RESULTS:There were 7 patients with 15 PIGN mutations (one patient carrying 3 ... Read more >>

Orphanet J Rare Dis (Orphanet journal of rare diseases)
[2020, 15(1):78]

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Clinical and Genetic Profile of Autism Spectrum Disorder-Epilepsy (ASD-E) Phenotype: Two Sides of the Same Coin!

Sudhakar Karunakaran, Ramshekhar N Menon, Sruthi S Nair, S Santhakumar, Muralidharan Nair, Soumya Sundaram,

The clinical phenotype of autism spectrum disorder and epilepsy (ASD-E) is a common neurological presentation in various genetic disorders, irrespective of the underlying pathophysiological mechanisms. Here we describe the demographic and clinical profiles, coexistent neurological conditions, type of seizures, epilepsy syndrome, and EEG findings in 11 patients with ASD-E phenotype ... Read more >>

Clin EEG Neurosci (Clinical EEG and neuroscience)
[2020, :1550059420909673]

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Epileptic Syndrome and Cranioplasty: Implication of Reconstructions in the Electroencephalogram.

Leandro Pelegrini de Almeida, Mateus Carvalho Casarin, Humberto Luiz Mosser, Paulo Valdeci Worm,

BACKGROUND:In the presence of a skull deformity after large decompressive craniectomy (DC), neurologic deterioration manifesting as epileptic syndrome (ES) may occur independently of the primary disease or spontaneous improvement may be unduly impaired, and these unfavorable outcomes have sometimes been reversed by cranioplasty. The objective of this study was to ... Read more >>

World Neurosurg (World neurosurgery)
[2020, :]

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The clinical value of long - term electroencephalogram (EEG) in seizure - free populations: implications from a cross-sectional study.

Tang Xinghua, Li Lin, Fan Qinyi, Wei Yarong, Pu Zheng, Liu Zhenguo,

BACKGROUD:This study aimed to explore the clinical value of long - term electroencephalogram (LTM EEG) in seizure-free individuals taking antiepileptic drugs (AEDs) for more than 2 years. We try to look for clinical factors associated with epileptiform activity on LTM EEG in seizure free patients. We hope that the detection of ... Read more >>

BMC Neurol (BMC neurology)
[2020, 20(1):88]

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Changes in Interictal Pretreatment and Posttreatment EEG in Childhood Absence Epilepsy.

Pawel Glaba, Miroslaw Latka, Małgorzata J Krause, Marta Kuryło, Wojciech Jernajczyk, Wojciech Walas, Bruce J West,

Spike and wave discharges (SWDs) are a characteristic manifestation of childhood absence epilepsy (CAE). It has long been believed that they unpredictably emerge from otherwise almost normal interictal EEG. Herein, we demonstrate that pretreatment closed-eyes theta and beta EEG wavelet powers of CAE patients (20 girls and 10 boys, mean ... Read more >>

Front Neurosci (Frontiers in neuroscience)
[2020, 14:196]

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Posterior Reversible Encephalopathy Syndrome: Clinical Features and Outcome.

Archana Hinduja,

Background: Posterior reversible encephalopathy syndrome (PRES) is an acute neurotoxic syndrome that is characterized by a spectrum neurological and radiological feature from various risk factors. Common neurological symptoms includes headache, impairment in level of consciousness, seizures, visual disturbances, and focal neurological deficits. Common triggering factors include blood pressure fluctuations, renal ... Read more >>

Front Neurol (Frontiers in neurology)
[2020, 11:71]

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Epilepsy in Neurodegenerative Dementias: A Clinical, Epidemiological, and EEG Study.

Dario Arnaldi, Andrea Donniaquio, Pietro Mattioli, Federico Massa, Matteo Grazzini, Riccardo Meli, Laura Filippi, Stefano Grisanti, Francesco Famà, Michele Terzaghi, Nicola Girtler, Andrea Brugnolo, Elisa Doglione, Matteo Pardini, Flavio Villani, Flavio Nobili,

BACKGROUND:Seizures are common in patients with dementia but precise epidemiologic data of epilepsy in neurodegenerative dementia is lacking. OBJECTIVE:The first aim of the study was to investigate prevalence and clinical characteristics of epilepsy in a large cohort of patients with neurodegenerative dementias. Subsequently, we explored clinical, neuropsychological, and quantitative electroencephalogram ... Read more >>

J. Alzheimers Dis. (Journal of Alzheimer's disease : JAD)
[2020, :]

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Neuro-Developmental and Epilepsy Outcomes of Children with West Syndrome: A Cross-Sectional Study from North India.

Juhi Gupta, Suvasini Sharma, Sharmila B Mukherjee, Puneet Jain, Satinder Aneja,

Objectives:To assess the neurodevelopmental outcome of West syndrome (WS) in Indian children, who differ in their clinical profile from the western population. Materials and Methods:This cross-sectional study enrolled children aged 2--5 years with prior diagnosis of WS between November 2013 and March 2015. They were assessed for epilepsy outcome and ... Read more >>

Ann Indian Acad Neurol (Annals of Indian Academy of Neurology)
[2020, 23(2):177-181]

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Concern of Photosensitive Seizures Evoked by 3D Video Displays or Virtual Reality Headsets in Children: Current Perspective.

Lawrence Tychsen, Liu Lin Thio,

This review assesses the risk of a photic-induced seizure in a child during viewing of 3D (binocular 3 dimensional, stereoscopic) movies or games, either on standard video displays or when wearing a virtual reality (VR) headset. Studies published by pediatric epilepsy experts emphasize the low risk of 3D viewing even ... Read more >>

Eye Brain (Eye and brain)
[2020, 12:45-48]

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Electro-clinical and neurodevelopmental outcome in six children with early diagnosis of tuberous sclerosis complex and role of the genetic background.

M N Savini, A Mingarelli, A Peron, F La Briola, F Cervi, R M Alfano, M P Canevini, A Vignoli,

BACKGROUND:Seizures in individuals affected by tuberous sclerosis complex (TSC) commonly develop in the first year of life, are often preceded by a progressive deterioration of the electroencephalogram (EEG), and likely influence developmental outcome. Although early diagnosis of TSC has offered a tremendous opportunity to monitor affected patients before seizure onset, ... Read more >>

Ital J Pediatr (Italian journal of pediatrics)
[2020, 46(1):36]

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Early-onset dementia: diagnostic challenges.

Bushra Elhusein, Omer Bakri Mahgoub, Abdalla Khairi,

A 56-year-old man was brought to our hospital by his family, seeking medical treatment for the patient's long-standing progressive word-finding difficulties, forgetfulness, agitation and social withdrawal. After multiple previous physician consultations, the patient was mistakenly diagnosed with epilepsy and prescribed multiple anticonvulsants, to which his above mentioned symptoms were unresponsive. ... Read more >>

BMJ Case Rep (BMJ case reports)
[2020, 13(3):]

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Subjective and objective hypersomnia highly prevalent in adults with epilepsy.

Madeleine Grigg-Damberger, Noah Andrews, Lu Wang, James Bena, Nancy Foldvary-Schaefer,

INTRODUCTION:Sleepiness is among the most common complaints of people with epilepsy, but objective documentation is lacking. We systematically investigated subjective and objective sleepiness in an observational cross-sectional cohort of adults with epilepsy (AWE). METHODS:This is a prospective study of AWE consecutively recruited without foreknowledge of sleep/wake complaints. Polysomnography (PSG) with ... Read more >>

Epilepsy Behav (Epilepsy & behavior : E&B)
[2020, 106:107023]

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[Clinical phenotypes of epilepsy associated with GABRA1 gene variants].

Y Yang, Y H Zhang, J Y Chen, J H Ma, D Sun, X L Yang, J Zhang, Y Chen, X R Wu,

Objective: To summarize the clinical phenotypes of epilepsy in patients with GABRA1 gene variants. Methods: A total of 11 epileptic patients (4 boys and 7 girls) who were treated in the Department of Pediatrics, Peking University First Hospital from March 2016 to July 2019 and detected with GABRA1 gene heterozygous ... Read more >>

Zhonghua Er Ke Za Zhi (Zhonghua er ke za zhi = Chinese journal of pediatrics)
[2020, 58(2):118-122]

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A girl with protein-losing enteropathy during a ketogenic diet: a case report.

Juan Wang, Li Jiang, Min Cheng,

BACKGROUND:A ketogenic diet (KD) is an effective treatment for intractable epilepsy in children. Protein-losing enteropathy (PLE) is a rarely reported but serious complication of KDs. CASE PRESENTATION:A 3-month-old female patient presented with PLE while following a KD as treatment for intractable epilepsy. She also had genovariation of the STXBP1 gene. ... Read more >>

BMC Pediatr (BMC pediatrics)
[2020, 20(1):102]

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Cefepime-Induced Neurotoxicity Presenting with Nonconvulsive Status Epilepticus Admitted as a Stroke Alert.

John M Cunningham, Katherine V Sachs, Rebecca Allyn,

BACKGROUND Cefepime-induced neurotoxicity has been described in intensive care units (ICUs) and neuro ICU settings, occurring in patients started on cefepime for management of severe infections and sepsis. Most cases occur within 1 to 10 days after starting the drug. We publish a case that occurred on the general medical ... Read more >>

Am J Case Rep (The American journal of case reports)
[2020, 21:e921643]

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A case report of sinoatrial arrest caused by temporal lobe epilepsy in subclinical glioblastoma.

Jörg Reifart, Marlene Tschernatsch, Christian W Hamm, Johannes Sperzel, Andreas Hain,

BACKGROUND:Atrial fibrillation with symptomatic bradycardia, higher grade atrioventricular block, and sinus node disease are all common indications for permanent pacemaker implantation. The most frequent causes of sinus node disease treated with pacemaker implantation involve degenerative structural changes of the sinus node; less often, extrinsic causes (such as damage due to ... Read more >>

BMC Cardiovasc Disord (BMC cardiovascular disorders)
[2020, 20(1):30]

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Epilepsia Open- March 2020 - Announcements.

Epilepsia Open (Epilepsia open)
[2020, 5(1):127-130]

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The Potential of Stereotactic-EEG for Brain-Computer Interfaces: Current Progress and Future Directions.

Christian Herff, Dean J Krusienski, Pieter Kubben,

Stereotactic electroencephalogaphy (sEEG) utilizes localized, penetrating depth electrodes to measure electrophysiological brain activity. It is most commonly used in the identification of epileptogenic zones in cases of refractory epilepsy. The implanted electrodes generally provide a sparse sampling of a unique set of brain regions including deeper brain structures such as ... Read more >>

Front Neurosci (Frontiers in Neuroscience)
[2020, 14:123]

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Into a Shaking Limbo: Case Report of a Nonneoplastic Limbic Encephalitis with Faciobrachial Dystonic Seizures and Parkinsonism.

Vijay Renga,

This case report describes a rare but classic presentation of a non-paraneoplastic, antibody-mediated limbic encephalitis. The clinical course did put us in a limbo as it evolved from seizure to Parkinsonism and then from metastasis to stroke, before it finally announced itself by its pathognomonic finding. Knowledge of this rare ... Read more >>

(Case Reports in Neurological Medicine)
[2020, 2020:]

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Rapid referral for headache management from emergency department to headache centre: four years data.

Andrea Negro, Valerio Spuntarelli, Paolo Sciattella, Paolo Martelletti,

BACKGROUND:Headache is one of the most common reason for medical consultation to emergency department (ED). The inappropriate use of ED for non-emergency conditions is a problem in terms of overcrowding of emergency facilities, unnecessary testing and treatment, increased medical costs, burden on medical service providers and weaker relationships between patient ... Read more >>

J Headache Pain (The journal of headache and pain)
[2020, 21(1):25]

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Scalp ripples as prognostic biomarkers of epileptogenicity in pediatric surgery.

Eleonora Tamilia, Matilde Dirodi, Michel Alhilani, P Ellen Grant, Joseph R Madsen, Steven M Stufflebeam, Phillip L Pearl, Christos Papadelis,

OBJECTIVE:To assess the ability of high-density Electroencephalography (HD-EEG) and magnetoencephalography (MEG) to localize interictal ripples, distinguish between ripples co-occurring with spikes (ripples-on-spike) and independent from spikes (ripples-alone), and evaluate their localizing value as biomarkers of epileptogenicity in children with medically refractory epilepsy. METHODS:We retrospectively studied 20 children who underwent epilepsy ... Read more >>

Ann Clin Transl Neurol (Annals of clinical and translational neurology)
[2020, 7(3):329-342]

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Advanced neuroimaging techniques for evaluating pediatric epilepsy.

Yun Jeong Lee,

Accurate localization of the seizure onset zone is important for better seizure outcomes and preventing deficits following epilepsy surgery. Recent advances in neuroimaging techniques have increased our understanding of the underlying etiology and improved our ability to noninvasively identify the seizure onset zone. Using epilepsy-specific magnetic resonance imaging (MRI) protocols, ... Read more >>

Clin Exp Pediatr (Clinical and experimental pediatrics)
[2020, 63(3):88-95]

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Cardiac arrhythmias in Dravet syndrome: an observational multicenter study.

Sharon Shmuely, Rainer Surges, Robert M Helling, W Boudewijn Gunning, Eva H Brilstra, Judith S Verhoeven, J Helen Cross, Sanjay M Sisodiya, Hanno L Tan, Josemir W Sander, Roland D Thijs,

OBJECTIVES:We ascertained the prevalence of ictal arrhythmias to explain the high rate of sudden unexpected death in epilepsy (SUDEP) in Dravet syndrome (DS). METHODS:We selected cases with clinical DS, ≥6 years, SCN1A mutation, and ≥1 seizure/week. Home-based ECG recordings were performed for 20 days continuously. Cases were matched for age and sex to ... Read more >>

Ann Clin Transl Neurol (Annals of clinical and translational neurology)
[2020, :]

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Juvenile myoclonic epilepsy mimic associated with CHD2 gene mutation.

Neeraj Singh, Anthony Ritaccio,

This paper reports the electroclinical manifestations of an epilepsy syndrome associated with a chromodomain helicase DNA-binding protein 2 (CHD2) gene mutation with clinical semiology and electroencephalographic (EEG) features consistent with juvenile myoclonic epilepsy (JME). Myoclonic and myoclonic-tonic-clonic seizures, as well as generalized 4- to 5-Hz high-amplitude spike-wave and polyspike-wave discharges, ... Read more >>

Epilepsy Behav Rep (Epilepsy & behavior reports)
[2020, 13:100355]

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