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Seizure

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Presentation

  • CASE REPORT: We present the case of a 16-year-old male who presented on two separate occasions after a tonic-clonic seizure with hip pain, an antalgic gait, and marked discomfort on hip flexion.[ncbi.nlm.nih.gov]
  • BACKGROUND/AIM: The present study aims to determine qualitative outcomes of presentations with acute recurrent seizures or status epilepticus to the emergency department of our institution after the introduction of a new seizure management protocol.[ncbi.nlm.nih.gov]
  • CLINICAL RELEVANCE: We presented an unusual case presentation of septicemia in a patient with SCI with underlying chronic non-healing pressure ulcer. He presented with seizure and fluctuating altered conscious level.[ncbi.nlm.nih.gov]
  • Abstract We present a case study of a patient with chromosome 22q11.2 deletion syndrome presenting with ictus emeticus, together with a review of the relevant literature.[ncbi.nlm.nih.gov]
  • We present a previously healthy 3-month-old female infant who was admitted to the emergency department with a generalized seizure after exposure to TCC.[ncbi.nlm.nih.gov]
Thrombosis
  • It is known to cause coagulation abnormalities, thrombosis and hemorrhage in the central nervous system in addition to vasculitis and hypersensitivity reactions.[ncbi.nlm.nih.gov]
Night Blindness
  • A 34-year-old man had reduced vision in his left eye for about 15 years, and night blindness for about two years. His visual acuity was 20/15 in the right eye and 20/50 in the left eye.[ncbi.nlm.nih.gov]
Memory Impairment
  • In the 16-week period following the surgery, the patient experienced no seizure attacks and no significant postoperative adverse effects or memory impairments.[ncbi.nlm.nih.gov]
  • Uncontrolled seizures may lead to injury, memory impairment and in some rare cases death. Getting a diagnosis and treatment is of utmost urgency.[epilepsynewengland.org]
Apraxia
  • A 68-year-old man with diabetes mellitus type 2 presented himself with visual distortion and apraxia. Nonketotic hyperglycemic seizure with both motor and sensory components was suspected.[ncbi.nlm.nih.gov]
Polyneuropathy
  • CASE REPORT We report the case of a 65-year-old Gypsy female who was admitted for a tetanic seizure, and who had a history of polyneuropathy, restless-leg syndrome, retinopathy, diabetes, hyperlipidemia, osteoporosis with consecutive hyperkyphosis, cervicalgia[ncbi.nlm.nih.gov]

Workup

  • Diagnostic workup revealed a giant middle cerebral artery aneurysm without evidence of subarachnoid or intracerebral hemorrhage.[ncbi.nlm.nih.gov]
  • This case report describes the clinical course, workup, and differential diagnosis of a 15-year-old male adolescent with first-time seizure and Brugada pattern on electrocardiogram. A brief review of the literature follows the case presentation.[ncbi.nlm.nih.gov]
  • In this series, kurtosis-driven selection and wavelet-based detection of HFOs had average sensitivity of 81.94% and average specificity of 96.03% in identifying the HFO area which overlapped with the SOZ as defined by clinical presurgical workup.[ncbi.nlm.nih.gov]
  • Most patients will be admitted to a telemetry floor for close monitoring, further workup, and treatment of their underlying condition.[emedicine.com]
  • However, every child with ASD and seizures should have a comprehensive medical workup for known medical disorders.[tacanow.org]
Epileptiform Activity
  • Electroencephalogram (EEG) was negative for epileptiform activity. A diagnosis of seizure in the setting of dementia with Lewy bodies (DLB) was deemed probable.[ncbi.nlm.nih.gov]
  • Extratemporal epileptiform activities (frontal, parietal, central, occipital and generalized) were also found equally in both groups.[dx.doi.org]

Treatment

  • RESULTS: Rapid initiation and escalation of status epilepticus treatment has been associated with shortened seizure duration and more favorable outcomes.[ncbi.nlm.nih.gov]
  • We present a case of a 73-year-old female with schizoaffective disorder who received a total of 173 ECT treatments over the course of five years for breakthrough psychosis due to medication nonadherence.[ncbi.nlm.nih.gov]
  • Treatment efficacy is dependent upon the induced seizure quality, which may be influenced by a range of treatment related factors.[ncbi.nlm.nih.gov]
  • Abstract Debate remains about the appropriate treatment of the asymptomatic side following treatment of a unilateral slipped capital femoral epiphysis (SCFE).[ncbi.nlm.nih.gov]
  • There are no published standards for clinical practice concerning risk factors, treatment selection or strategies to withdraw treatment with antiepileptic drugs (AED).[ncbi.nlm.nih.gov]

Prognosis

  • The current study aimed to perform a comprehensive meta-analysis to investigate the correlation of isocitrate-dehydrogenase 1 (IDH1), an important molecular biomarker for glioma classification and prognosis, to preoperative seizure incidence in LGG.[ncbi.nlm.nih.gov]
  • Postsurgical complications are rare compared to classical ATL, with better prognosis and seizure freedom after surgery. Copyright 2018. Published by Elsevier Ltd.[ncbi.nlm.nih.gov]
  • Following surgery confined to the parietal lobe or resection with major involvement of the parietal cortex, the long-term prognosis of patients with parietal lobe epilepsy is favourable.[ncbi.nlm.nih.gov]
  • KEYWORDS: nomogram; prediction; prognosis; seizure freedom; seizure recurrence[ncbi.nlm.nih.gov]
  • The management and prognosis is the same as for classical febrile convulsions. Acute Management Treat the convulsion when necessary as per Convulsions guidelines. * Reassurance is important in simple febrile convulsions.[rch.org.au]

Etiology

  • The choice of antiepileptic drug is typically based on seizure type, and there is no evidence for superior effectiveness or potential deterioration of particular antiepileptic drug in specific etiologic subgroups.[ncbi.nlm.nih.gov]
  • The etiologic categories of seizures involve idiopathic, symptomatic, and cryptogenic. Pott puff tumor is a rare cause of seizures. The authors present a rare cause of the seizures.A 12-year-old boy presented with seizures.[ncbi.nlm.nih.gov]
  • BACKGROUND: Children who present with seizure and/or impaired consciousness accompanied by fever without known etiology (SICF) may be diagnosed with either acute encephalopathy (AE) or febrile seizure (FS).[ncbi.nlm.nih.gov]
  • Patient 2: 41 years old woman with focal epilepsy of unknown etiology. At 38 years she was taking lamotrigine 450 mg/day and had been seizure free for three years.[ncbi.nlm.nih.gov]
  • In children with TLE of different etiologies there is a wide clinico-electroencephalographic diversity 2,10-13.[dx.doi.org]

Epidemiology

  • Clinical Practice and Epidemiology in Mental Health 5:16, 2009 PubMed CrossRef Google Scholar 30.[dx.doi.org]
Sex distribution
Age distribution

Pathophysiology

  • This case report discusses the pathophysiology of post-ictal desaturations and breathing abnormalities during seizures and their possible association with sudden unexpected death in epilepsy.[ncbi.nlm.nih.gov]
  • ., glucose utilization) of seizures pathophysiology revealing (in most cases) reduced metabolism in the inter-ictal period and increased metabolism in the seconds preceding and during the appearance of seizures.[ncbi.nlm.nih.gov]
  • The pathophysiology of focal-onset seizures differs from the mechanisms underlying generalized-onset seizures.[emedicine.medscape.com]

Prevention

  • CONCLUSION: Improved preventive care, seizure detection, and rescue medication education may advance pre-hospital management, and we propose the use of acute status epilepticus intervention teams to initiate and incorporate in-hospital interventions as[ncbi.nlm.nih.gov]
  • Although varied in semiology, recognition of the pattern of seizures in LGI1 encephalitis is important, as early diagnosis and definitive treatment may prevent subsequent development of cognitive impairment.[ncbi.nlm.nih.gov]
  • CONCLUSIONS: As with sentinel headache, new-onset seizures in patients with unruptured intracranial aneurysms might prompt immediate treatment to prevent imminent SAH with its subsequent high morbidity and mortality. Copyright 2017.[ncbi.nlm.nih.gov]
  • Hyperbaric oxygen therapy (HBOT) for carbon monoxide (CO) poisoning is widely performed to prevent delayed neuropsychiatric syndrome.[ncbi.nlm.nih.gov]
  • BACKGROUND: Seizure prediction can increase independence and allow preventative treatment for patients with epilepsy.[ncbi.nlm.nih.gov]

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