By Dieter Schmidt, Steven C. Schachter
From pediatric to the aged, from contractible to refractive, epilepsy is an sickness that manifests in lots of varieties and throughout a variety of 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 circumstances, from the occasionally complicated preliminary prognosis to sufferer responses and therapy tools. during this best-selling brief textual content, the writer additionally provides the teachings discovered from those remarkable instances. a hundred and ten perplexing instances in Epilepsy comes in handy for clinical scholars, citizens and all well-being care practitioners, because the practices used to appreciate those circumstances may be utilized to different diagnoses besides.
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Extra resources for 110 puzzling cases of epilepsy
A number of features demonstrated in this case were not helpful in distinguishing non-epileptic seizure from EPC. 2 Other techniques can help distinguish EPC from non-epileptic seizure. Supplemental scalp electrodes near the sensory–motor strip may enhance the 23 EPILEPSIA PARTIALIS CONTINUA VERSUS NON-EPILEPTIC SEIZURES identiﬁcation of changes on EEG during the episodes. Other electrophysiological techniques, including demonstration of giant somatosensory evoked potentials30,31 and isolated spikes preceding myoclonic jerks on back-averaged EEG,4,31 can also help to diagnose EPC.
She has 20–30 spasms in a series with one or two strings of spasms nearly every day. She is often incontinent during the string of spasms, which causes major restrictions in her social life. At the age of 18 years, she had her ﬁrst and only generalized tonic–clonic seizure, which frightened her family more than any previous experience. 15 TWO ADULT PATIENTS WITH INFANTILE SPASMS Over the years, treatment of her partial seizures and spasms has been ineffective; it has included phenobarbital, phenytoin, carbamazepine, prednisone, clonazepam, valproate, nitrazepam, the ketogenic diet, clobazam, felbamate (which produced a partial response with severe anorexia), vigabatrin and lamotrigine.
When other body parts are engaged in effortful tasks); eliciting and abolishing typical episodes with suggestive techniques; absence of motor weakness during or in between episodes; absence of EEG correlate of motor activity; and absence of hyperperfusion on ictal SPECT scan. • • • • References 1. Watanabe K, Kuroiwa Y, Toyokura Y. Epilepsia partialis continua. Epileptogenic focus in motor cortex and its participation in transcortical reﬂexes. Arch Neurol 1984;41:1040–4. 2. Thomas JE, Reagan TJ, Klass DW.
110 puzzling cases of epilepsy by Dieter Schmidt, Steven C. Schachter