110 Puzzling Cases of Epilepsy by Dieter Schmidt, Steven C. Schachter

By Dieter Schmidt, Steven C. Schachter

From pediatric to the aged, from contractible to refractive, epilepsy is an affliction that manifests in lots of varieties and throughout a variety of demographics. during this attention-grabbing quantity, the writer info multiple hundred circumstances the place healthiness care practitioners confronted strange demanding situations in treating the sickness. All elements of epilepsy are explored via those situations, from the occasionally complicated preliminary analysis to sufferer responses and remedy tools. during this best-selling brief textual content, the writer additionally offers the teachings discovered from those outstanding circumstances. one hundred ten confusing instances in Epilepsy comes in handy for scientific scholars, citizens and all health and wellbeing care practitioners, because the practices used to appreciate those circumstances should be utilized to different diagnoses to boot.

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The patient has remained seizure-free since then, and has been without medication during the last year. Commentary The way in which this patient presented might have suggested a severe cerebral insult. However, it is known that a significant number of patients with this benign form of epilepsy present with prolonged seizures, and yet the prognosis is good. On the other hand, vomiting in children has not usually been recognized as an initial ictal manifestation. In my experience, this epileptic syndrome is about three or four times less common than benign partial epilepsy with centrotemporal spikes, but three or four times more common than the Gastaut type of childhood epilepsy with occipital paroxysms.

Further reading Devinsky O, Morrell M, Vogt BA. Contributions of anterior cingulate gyrus to behavior. Brain 1995;118:279–306. Grunwald Th, Kurthen M, Elger CE. Predicting surgical outcome in epilepsy: how good are we? In: Schmidt D, Schachter SC, eds. Epilepsy: Problem Solving in Clinical Practice. London, Martin Dunitz; 2000:399–410. Jurgens U. Vocal communications in primates. In: Kesner RP, Olton DS, eds. Neurobiology of Comparative Cognition. New Jersey: Erlbaum; 1990. Mazars G. Criteria for identifying cingulate epilepsies.

Vigevano F, Ricci S. Benign occipital epilepsy of childhood with prolonged seizures and autonomic symptoms. In: Andermann F, Beaumanoir A, Mira L, Roger J, Tassinari CA, eds. Occipital seizures and epilepsies in children. London: John Libbey; 1993;133–40. 29 Case 9 PANIC ATTACKS IN A WOMAN WITH FRONTAL LOBE EPILEPSY Thomas Grunwald, Martin Kurthen and Christian E Elger History A 32-year-old woman presented with frequent simple and complex partial seizures since the age of 22. Often she would suffer from attacks of intense panic, which were frequently followed by déjà-vu experiences or by a poorly localized tingling sensation in the body.

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