1/50. Psychiatric presentation of epilepsia cursiva.Coarse brain disease can first present as a behavioural or psychiatric disorder. Partial seizures with complex symptomatology (psychomotor or temporal lobe epilepsy) may offer particular difficulties in differential diagnosis from the "functional psychoses". The authors report a case of "running epilepsy" (epilepsia cursiva), that first presented as a behavioural problem, and review the literature on this rare form of psychomotor epilepsy.- - - - - - - - - - ranking = 1keywords = epilepsia (Clic here for more details about this article) |
2/50. Acute measles encephalitis of the delayed type.An acute measles encephalitis with epilepsia partialis continua occurred three months after measles in a previously healthy child with no detectable immunological defect. Levels of measles antibodies in serum and cerebrospinal fluid were high, and tubular inclusions of the type seen in subacute sclerosing panencephalitis were found in nerve cell nuclei. A communicating high-pressure hydrocephalus developed in the later stage of the disease. This case demonstrates that measles encephalitis of the delayed type should systematically be considered in children with acute encephalitis.- - - - - - - - - - ranking = 1.2360167991313keywords = epilepsia partialis, epilepsia, partialis (Clic here for more details about this article) |
3/50. Utility of Tc 99m HMPAO SPECT in the early diagnosis of Rasmussen's syndrome.Neuroradiological examinations are important in the diagnosis of Rasmussen's syndrome (RS), but they frequently result normal in the early phase of the disease. We performed Tc 99m HMPAO SPECT (single photon emission computed tomography) on an 11-year, 5-month-old, right-handed girl, two months since the first seizure. SPECT showed a reduced uptake of HMPAO in the left temporal region despite normal results with magnetic resonance imaging (MRI). After six months, she developed epilepsia partialis continua, neurological signs appeared, and MRI showed cortical atrophy on the left side. SPECT seems to be a useful, inexpensive and diffuse technology able to give information in the early phases of RS useful in the prevention of serious consequences of the disease within a medical therapeutic program (ganciclovir or intravenous immunoglobulins).- - - - - - - - - - ranking = 1.2360167991313keywords = epilepsia partialis, epilepsia, partialis (Clic here for more details about this article) |
4/50. dystonia, athetosis, and epilepsia partialis continua in a patient with late-onset Rasmussen's encephalitis.Rasmussen's encephalitis is a rare autoimmune disorder characterized by intractable epilepsy and progressive hemispheric dysfunction. The disorder usually affects children, although cases have been reported with symptom onset in late adolescence or adulthood. myoclonus is common in Rasmussen patients, usually occurring as part of epilepsia partialis continua (EPC); however, other hyperkinetic movements are rare. This report documents a 19-year-old woman with Rasmussen's encephalitis whose clinical presentation was dominated by foot dystonia, arm athetosis, and EPC. Intravenous immunoglobulin improved both hyperkinetic movements and EPC, but benefit was transient. The clinical significance and implications of these findings are discussed.- - - - - - - - - - ranking = 6.1800839956567keywords = epilepsia partialis, epilepsia, partialis (Clic here for more details about this article) |
5/50. Reorganization of motor representation in a patient with epilepsia partialis continua as shown by [O15]-labeled butanol positron emission tomography and functional magnetic resonance imaging.The authors investigated a 38-year-old patient with focal cortical dysplasia in the right precentral cortex using positron emission tomography and functional magnetic resonance imaging to localize the hand and finger motor representations. The patient presented clinically with epilepsia partialis continua, supposed to originate from the perirolandic area harboring the cortical malformation. Both methods revealed an abnormal bilateral activation of motor cortex during left-hand finger movements. The results suggest that the so-called eloquent but nevertheless pathological dysplastic cortex accommodates motor representations.- - - - - - - - - - ranking = 6.1800839956567keywords = epilepsia partialis, epilepsia, partialis (Clic here for more details about this article) |
6/50. epilepsia partialis continua and neuronal migration anomalies.Neuronal migration anomalies commonly cause seizures that are partial in type and generally refractory to medical treatment. epilepsia partialis continua (EPC), an unusual form of epilepsy commonly related to acute damage of the cerebral cortex or to a chronic lesion, has never been described in a patient with neuronal migration anomalies. In 50 children with epilepsy due to neuronal migration anomalies, we observed two cases of EPC. These two children had unilateral neuronal migration abnormalities with partial seizures other than EPC and contralateral hemiparesis. epilepsia partialis continua appeared two to three years after the onset of partial attacks and was accompanied by a worsening of the children's previous hemiparesis. Although a rare seizure manifestation in children with neuronal migration anomalies, when it does appear, EPC can aggravate the clinical neurological condition and should always be investigated for in these cases. Because its clinical appearance is often subtle, as in these two children, EPC may easily remain undiagnosed.- - - - - - - - - - ranking = 1.0977194202802keywords = partialis (Clic here for more details about this article) |
7/50. epilepsia partialis continua in progressive multifocal leukoencephalopathy: a motor cortex isolation syndrome.We describe the clinical and neuropathological features in a patient aged 45 years with progressive multifocal leukoencephalopathy with epilepsia partialis continua. The motor cortex and basal ganglia were preserved. Our findings lend support to the notion of isolation of the motor cortex as the cause of this particular type of focal status epilepticus.- - - - - - - - - - ranking = 1.9678297459848keywords = epilepsia partialis, epilepsia, partialis (Clic here for more details about this article) |
8/50. Non-ketotic hyperglycaemia presenting as epilepsia partialis continua.epilepsia partialis continua (EPC) is a rare epileptic syndrome, observed in various cortical lesions and also in metabolic disorders. We report the case of a 57-year-old patient with EPC as the first manifestation of hyperosmolar non-ketotic hyperglycaemia (NKH) of diabetes mellitus. Computed tomography (CT) and magnetic resonance imaging (MRI) were normal. Initial laboratory data revealing serum glucose 1540 mg/dl, and serum osmolality 391 mOsm/l confirmed the diagnosis. electroencephalography (EEG) showed ictal discharges in the ipsilateral hemisphere during focal seizures. seizures are resistant to anticonvulsant treatment and respond best to insulin and rehydration. Focal motor seizures or EPC are commonly a symptom of NKH in the elderly patients. We recommend that in such cases a metabolic disorder such as diabetes mellitus be ruled out.- - - - - - - - - - ranking = 5.1270204332387keywords = epilepsia partialis, epilepsia, partialis (Clic here for more details about this article) |
9/50. epilepsia partialis continua of the abdominal muscles: a detailed electrophysiological study of a case.We describe the clinical and electrophysiological features of an elderly woman presenting with persistent clonic twitching of the abdominal muscles that were considered to represent a rare manifestation of epilepsia partialis continua due to a metastatic cortical lesion.- - - - - - - - - - ranking = 1.9678297459848keywords = epilepsia partialis, epilepsia, partialis (Clic here for more details about this article) |
10/50. Focal seizures and non-ketotic hyperglycaemia.The clinical features of seven patients with non-ketotic hyperglycaemia who developed focal seizures are presented. All patients were alert except one who was mildly confused. glucose values varied from 17.8 to 55.1 mmol/l, while calculated osmolarity values were elevated in all cases to a mild or moderate extent (299.1 to 346.5 mmol/l). In three cases diabetes mellitus was a new diagnosis. Four patients had recurrent episodes of focal seizures when glycaemic control was lost. movement induced or kinesigenic seizures were seen in three cases and epilepsia partialis continua in one case. seizures associated with hyperglycaemia are resistant to anticonvulsant treatment and respond best to insulin and rehydration. Focal seizures in adults may indicate diabetes mellitus.- - - - - - - - - - ranking = 1.2360167991313keywords = epilepsia partialis, epilepsia, partialis (Clic here for more details about this article) |
| | Next -> |