Presentation
On the opposite side of the spectrum, the group of benign epilepsy syndromes presented in this book is clearly more prevalent in childhood than the intractable epilepsies. [books.google.com]
Presentation A stroke tends to produce a rapid onset of symptoms whilst a space-occupying lesion will produce a more insidious onset. [patient.info]
Five patients had epigastric auras often associated to oro-alimentary automatic activity, 3 patients presented loss of contact, and 2 experienced secondary generalizations. [ncbi.nlm.nih.gov]
ORPHA:163717 Synonym(s): Benign FMTLE Prevalence: - Inheritance: Autosomal dominant Age of onset: - ICD-10: - OMIM: 611630 614417 615697 UMLS: - MeSH: - GARD: - MedDRA: - The documents contained in this web site are presented for information purposes [orpha.net]
Entire Body System
- Pallor
[…] be classified by symptom type, as follows: Sensory – auditory, gustatory, hot-cold sensations, olfactory, somatosensory, vestibular, visual Autonomic – Heart rate Change (asytole, bradycardia, palpitations, tachycardia), flushing, gastrorintestinal, pallor [emedicine.medscape.com]
The heart and breathing rate may rise, and sweating and pallor can also occur. Uncontrolled, subtle movements of the face and hands, “zoning out”, and rhythmic facial and limb movements are often seen. [childneurologyfoundation.org]
Continuous spike and wave discharges during slow sleep in 85% of cases MRI findings normal Childhood absence epilepsy Age: 4–14 years Skin pallor, staring view for a few seconds, immediate return to consciousness Amnesia for episodes Rhythmic movements [slideshare.net]
- Enuresis
[…] seizure has been stabilized, one has to determine if the event was really a seizure, which is typically based on the history obtained from a reliable observer and a clinical examination looking for ictal sequelae such as open eyes, (lateral) tongue bite, enuresis [slideshare.net]
[…] scolastica compaiono dapprima difficoltà di concentrazione con tendenza ad isolarsi; successivamente in rapida progressione, nell’arco di pochi mesi, iniziano difficoltà di coordinazione motoria, regressione del linguaggio, iperattività, disinibizione ed enuresi [docksci.com]
Gastrointestinal
- Nausea
Temporal lobe seizures are often accompanied by strange sensations, sweating, flushing, vertigo, epigastric sensations, taste, and hearing of sounds or melodies, nausea, hallucinations or feelings of déjà vu. [epilepsyqueensland.com.au]
[…] and perceptual phenomena, as well as autonomic symptoms is possible in this epilepsy syndrome: déjà vu, jamais vu, “stranger behind the back”, feeling of detachment from oneself, sensation of enlightenment, extreme pleasure, fear and dread, anxiety, nausea [doctorstrizhak.com]
Symptoms are myriad but tend to localize around the eyes (glassy-eyed, “drugged”, dazed, far-away look), the mouth (lip-smacking, drooling, gurgling) and the abdomen (nausea, vomiting, epigastric sensation). 8 Most seizures last for several minutes and [aafp.org]
Children with these types of seizures can present with pallor, visual changes, vomiting, nausea, dilated pupils, or fainting spells. The eyes and head can be deviated towards one direction and consciousness can be impaired. [childneurologyfoundation.org]
however, be minimal or absent Transient global amnesia Sudden onset of isolated anterograde and retrograde amnesia for usually 2–8 h Panic attack Abrupt onset with intense feeling of fear, no loss of consciousness, autonomic features (tachycardia, nausea [slideshare.net]
Cardiovascular
- Thrombosis
However, some clinical constellations, e.g., suspected sinus thrombosis, may require additional imaging such as CT angiography, MRI, and sometimes even catheter angiography (Fig. 1, 2). [slideshare.net]
Neuroradiological Findings of Paediatric Cerebral Sinovenous Thrombosis Due to Acquired Risk Factors Purpose: Cerebral sinovenous thrombosis (CSVT) in children is considered relatively rare but a potentially life-threatening condition; in Children’s Hospitals [docksci.com]
- Cyanosis
During the tonic phase, the patient may bite his or her tongue or cheek and respiration is disrupted, leading to cyanosis. The initial rigidity gradually evolves into generalized jerking, the clonic phase. [slideshare.net]
Eyes
- Strabismus
Any family history of strabismus or childhood orthoptic treatment should be considered. [docksci.com]
Psychiatrical
- Aggressive Behavior
Seizures from the cingulate gyrus can involve screaming, aggressive behavior, and feelings of intense fear. The heart and breathing rate may rise, and sweating and pallor can also occur. [childneurologyfoundation.org]
Urogenital
- Incontinence
Bladder incontinence may occur in either the tonic or the clonic stage of the seizure. As the seizure ends the patient is noted to have drooling from the mouth, sonorous respirations and usually falls asleep. [ispub.com]
[…] hospital after an observed fall at a bus stop with consecutive clonic jerks for Table 3 Nonepileptic conditions that may mimic epileptic seizures Type of disorder Clinical description Psychogenic seizures Most common nonepileptic condition, urinary incontinence [slideshare.net]
- Urinary Incontinence
incontinence, and genital sensations or orgasm. [slideshare.net]
Neurologic
- Tremor
Epilepsy with myoclonic--astatic seizures Childhood absence epilepsy Epilepsy with myoclonic absences Juvenile absence epilepsy Juvenile myoclonic epilepsy Epilepsy with GTCSs only Other probable syndromes of IGE to consider Autosomal dominant cortical tremor [bokkilden.no]
Epilepsy with myoclonic–astatic seizures Childhood absence epilepsy Epilepsy with myoclonic absences Juvenile absence epilepsy Juvenile myoclonic epilepsy Epilepsy with GTCSs only Other probable syndromes of IGE to consider Autosomal dominant cortical tremor [axon.es]
All have some side effects, such as, but not limited to: appetite/weight changes tremor rash kidney stones mental slowing irritability drowsiness AEDs can also be costly. [childneurologyfoundation.org]
[…] withdrawal) Negative symptoms and vigilance disturbances predominate Infectious (meningitis, encephalitis) Fever, confusion, and vigilance disturbances predominate Movement disorders, chorea and athetosis, tics and Tourette syndrome, focal dystonias, tremor [slideshare.net]
Movement disorders in children with antiNMDAR encephalitis are variable: chorea, stereotypic movements, ataxia, limb dystonia, limb myorhythmia, oromandibular dystonia, facial myorhythmia, blepharospasm, opisthotonus, athetosis, and tremor may occur. [docksci.com]
- Atonic Seizures
Generalized seizures Absence or Petit Mal seizures Typical Absence seizures Atypical Absence seizures Tonic-clonic seizures Atonic seizures Clonic seizures Tonic seizures Myoclonic seizures Myoclonic absence seizures Myoclonic atonic seizures Reflex seizures [ispub.com]
[…] spasms Dravet syndrome 10/30 Carolyn Carolyn Stasia Stasia Preston Myoclonic encephalopathy in non-progressive disorders Febrile seizures Early benign childhood occipital epilepsy Epilepsy with myoclonic-atonic seizures Benign epilepsy with centrotemporal [loyolamedicine.org]
[…] with myoclonic atonic seizures, benign epilepsy with centrotemporal spikes (BECTS), autosomal-dominant nocturnal frontal lobe epilepsy (ADNFLE), late onset childhood occipital epilepsy, epilepsy with myoclonic absences, Lennox-Gastaut syndrome, epileptic [google.ch]
Atonic seizures describe seizures with a sudden loss of postural tone, in which the patient drops or slumps to the ground. They are also referred to as drop attacks or astatic seizures and may result in head contusions and teeth violations. [slideshare.net]
Workup
No other workup or CSF markers were obtained. MRI of 10/05: Lesion is recorded as 8×10 mm. [med.virginia.edu]
[…] lesion for neoplastic signal Electroencephalography (EEG); indicated in all patients with suspected temporal lobe epilepsy Magnetoencephalography (MEG); mainly used for coregistration with MRI to give magnetic source imaging in 3-dimensional space See Workup [emedicine.medscape.com]
The same is valid if in the later course of the diagnostic workup, localization information is acquired by PET, SPECT or MEG. [slideshare.net]
This requires extensive workup with detailed brain imaging and EEGs. A neurosurgeon will then surgically remove the area of the brain that is causing the seizures. This is called epilepsy surgery. [childneurologyfoundation.org]
Additional workup in selected patients may include serologies and CSF analysis. Ocular miastenia must be included in the differential diagnosis in all cases of motility disorders, expecially when pupil is not involved. [docksci.com]
EEG
- Epileptiform Activity
Ictal EEG usually demonstrates epileptiform activity over the temporal areas. Prognosis and Treatment The course of autosomal dominant focal epilepsy is variable. [doctorstrizhak.com]
Treatment
Some of the services we provide include: • Brachial Plexus Palsy treatment • Cerebral Palsy treatment • Epilepsy treatment • General Neurology treatment • Movement Disorders treatment • Neurofibromatosis Center treatment • Stroke treatment • Tuberous [neuro.wustl.edu]
The text has truly become a pragmatic and helpful guide in the treatment of epilepsy." (George L. [axon.es]
Surgical treatment is a potentially curative option for this type of epilepsy. [doctorstrizhak.com]
Long-term outcomes from the PEARLS randomized trial for the treatment of depression in patients with epilepsy. Epilepsy Behav. 2011;20:545–9. PubMed CrossRef Google Scholar 47. Mula M. [link.springer.com]
Prognosis
Prognosis and Treatment of Lateral Temporal Epilepsy The prognosis largely depends on the cause of the brain lesion and is not very predictable. [doctorstrizhak.com]
[…] disease Benign familial mesial temporal lobe epilepsy Disease definition Benign familial mesial temporal lobe epilepsy is a rare epilepsy characterized by seizures with viscerosensory or experential auras, onset in adolescence or early adulthood and good prognosis [orpha.net]
Studies on the prognosis of TLE-NL are still limited, so this assumption has not been confirmed to date. [dovepress.com]
Neurologists and paediatricians should be familiar with these conditions because accurate diagnosis, and its consequent good prognosis, may save much suffering to the family. [books.google.com]
Etiology
These seizures range from benign neonatal convulsions to infantile spasms (West syndrome) to absence seizures and partial seizures associated with well-defined focal pathology with many types and etiologies. [clinicalgate.com]
Epilepsy due to perinatal insults Epilepsy due to malformations of cortical development 4/16 Chandler Preston Chandler Epilepsy due to mitochondrial and metabolic disorders Benign neonatal seizures Breath holding spells 5/7 Chandler Amy Amy Cardiac etiologies [loyolamedicine.org]
Etiology Hippocampal sclerosis Approximately two thirds of patients with temporal lobe epilepsy treated surgically have hippocampal sclerosis as the pathologic substrate. [emedicine.medscape.com]
The most common etiology is hippocampal sclerosis (HS), which is responsible for 60%–70% of all TLE cases. [dovepress.com]
Etiology and Basic Mechanisms The etiology of familial epilepsies is first determined by the genetic pattern that indicates an inherited disease and second by the structural/functional abnormalities that are associated with this genetic background. [neupsykey.com]
Epidemiology
Página 67 - Socioeconomic characteristics of childhood seizure disorders in the New Haven area: an epidemiologic study Página 67 - Epilepsy after penetrating head injury. I. Clinical correlates: a report of the Vietnam Head Injury Study. [books.google.es]
A population based epidemiological study. Epilepsia Volume 35 Issue 5 Page 950-8, September 1994. 4. Loh Ngai Kun, Lee Wei Ling, Yew Woon Wah, Tjia Tjoei Lian (1999). [ispub.com]
Relevant External Links for CPA6 Genetic Association Database (GAD) CPA6 Human Genome Epidemiology (HuGE) Navigator CPA6 Atlas of Genetics and Cytogenetics in Oncology and Haematology: CPA6 No data available for Genatlas for CPA6 Gene Characterization [genecards.org]
Definitions Making the correct diagnosis in epilepsies The ILAE classification of epileptic seizures and epileptic syndromes Epidemiology of epilepsies 2 - Epileptic seizures and their classification The formal definition of epileptic seizures Classification [bokkilden.no]
Pathophysiology
Before we enter the discussion regarding the effect of seizures on the brain, it is essential that we differentiate among the different types of epilepsy and seizures because it is clear that the pathophysiology of the many syndromes and situations are [clinicalgate.com]
This overview shall cover the classification, pathophysiology, clinical semiology and treatment options available for different types of seizure disorders. [ispub.com]
[…] with atopic dermatitis Yamazaki et al. 2007 Association analysis of genetic variants in IL23R, ATG16L1 and 5p13. 1 loci with Crohn's disease in Japanese patients Pigeyre et al. 2016 Recent progress in genetics, epigenetics and metagenomics unveils the pathophysiology [google.ch]
The frequency of neurological involvement in BD is very variable, ranging from 3 to 59%, with two main different pathophysiologic mechanisms: first, and most commonly, through the development of an immune-mediated meningoencephalitis, which predominantly [docksci.com]
Prevention
This review highlights research findings that suggest possibilities for the prevention and treatment of epilepsy. Funding and Disclosures Supported in part by a grant (NS39950) from the National Institutes of Health. We are indebted to Drs. [nejm.org]
In addition, parents should also be aware that these drugs may prevent recurrences but do not alter the long-term prognosis for attaining seizure remission. [aafp.org]
A possible or certain diagnosis of a CVE requires investigation, as outlined in the separate Stroke Prevention article. Referral to a neuropsychologist may still be useful to elucidate the precise nature of the problem and for help with management. [patient.info]
Second, we could not obtain video-EEG monitoring results from all of our patients, thus preventing the detection of exact seizure semiology, including automatisms and ictal EEG patterns. [dovepress.com]
PREVENTION Seizures can be prevented by regularly taking the prescribed medications. In fact, not taking medications is the most common cause for breakthrough seizures. During times of illness or stress, seizures can occur. [childneurologyfoundation.org]