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Query: UMLS:C0014547 (focal epilepsy)
 1,627 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Although cryogenic lesions have been widely used as experimental models of either focal epilepsy or focal BE, the relation between these two disorders has never been discussed. In these experiments EA and gray matter edema were correlatively investigated during the early phase (1 to 23 hr) after a cryogenic lesion in the rabbit. Indexes were developed to allow a quantitative assessment of EA. The indexes demonstrated that the early phase of cryogenic epilepsy is a rapid phenomenon during the first 4-hr postlesion. Epileptic activity precedes BE, and in individual animals, there is a significant positive correlation between the total amount of EA and edema. EA and BE are most likely interrelated at the level of pathophysiological mechanisms. Excitotoxins and ions would be possible candidates mediating both phenomena.
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PMID:Relation between epileptic activities and edema formation after cryogenic injury in the rabbit. 239 20

Somatosensory evoked potentials (SEPs) to median nerve, ulnar nerve, thumb, middle finger, and posterior tibial nerve stimulation were recorded in a patient with a discrete resection of part of the postcentral somatosensory cortex as a treatment for focal epilepsy. Comparison of the different stimulation sites confirmed electrophysiologically the restricted locus of the lesion. The results strongly suggest that the early negative component (N20) and subsequent components recorded postcentrally are of cortical origin and depend upon postcentral gyrus cytoarchitectonic areas 3, 2, and 1. Moreover, these postcentral SEPs are distinct from precentrally recorded activity.
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PMID:Somatosensory evoked potentials after removal of somatosensory cortex in man. 241 99

A systematic investigation of several cases of focal epilepsy has been performed in an unshielded environment using a 4-channel neuromagnetic sensor. The localizations provided by the magnetic measurements have been compared with clinical evidence and confirmed by X-ray findings, and in one case also by intracranial surgery. The results show the importance of simultaneous detection of magnetic fields at different sites of the scalp in order to get a dynamic view of the epileptic activity and to detect multifocal activity unsuspected on the basis of the EEG investigation.
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PMID:Study of focal epilepsy by multichannel neuromagnetic measurements. 243 15

Although the importance of neuronal synchrony in epilepsy has not been disputed, few attempts have been made to examine quantitatively the relationship between this parameter and seizure occurrence. The specific objective of the present investigation was to determine how the amount and type of synchrony between EEG and single-unit activity in an experimental model of focal epilepsy are related to the occurrence of seizures. This was accomplished by examining EEG/single unit relationships in two types of cobalt-induced epileptogenic focus: (1) foci that initiated seizures, and (2) foci that exhibited only interictal spike activity. These relationships were examined during slow-wave sleep, a time when synchronous neuronal activity is thought to be augmented. In control rats and rats that had seizures, the majority of units exhibited a non-random relationship between unit discharge and the EEG. In cobalt-treated rats that were not observed to have seizures, however, the percentage of units exhibiting EEG/single unit relationships was significantly less than that in either controls or rats that had seizures. This observation, paired with observations of the details of the EEG/single unit relationships, led to the hypothesis that cobalt treatment produces a shift from an inhibition dominated synchrony (observed in controls) to an excitation dominated synchrony (observed in rats that had seizures). Intermediate between these two types of synchrony is a less synchronized state (observed in seizure-free, cobalt-treated rats), which probably results from a loss of inhibition dominated synchrony without a concomitant increase in excitation dominated synchrony.
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PMID:Relationship between single-unit activity and the electroencephalogram in a neocortical, cobalt-induced epileptogenic focus. 244 19

1. Puberty and adolescence mainly can have a bad effect on idiopathic generalized epilepsies. This can show up in the first onset of seizures in adolescence, e.g. as a form of idiopathic grand mal on awakening, juvenile absence epilepsy or juvenile myoclonic epilepsy (impulsive petit mal). Also, already diagnosed absence epilepsy can become worse, e.g. by recurring absence seizures or grand mal seizures or the new onset of grand mal on awakening. 2. Exogenous factors, like changing the time of sleeping and waking, lack of sleep and the abuse of alcohol, play an important role in these types of epilepsy. Cutting out these factors is just as important as the consequent drug treatment on a longterm basis. 3. Drug treatment of idiopathic generalized epilepsy will be done with valproate, barbiturates and ethosuximide. Regarding fatal complications of liver function, which are more frequent than previously thought of, valproate can be recommended as a drug of first choice, especially in early childhood and when a combination of drugs is used. 4. A very good effect of adolescence is seen in children with benign idiopathic focal epilepsy with a centro-temporal spike focus. Antiepileptic treatment with carbamazepine as an agent of first choice can be done less vigorously. 5. Menstruation usually only modifies but does not worsen the natural course of epilepsy. There is still no real therapeutical plan for this rare form of epilepsy. 6. It cannot be a general rule, not to change current medical treatment before or during puberty in order to avoid any worsening of seizures. A decision always has to be made regarding the form of epilepsy and the individual situation, which has to be discussed with the patient and perhaps his family.
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PMID:[Epilepsies in puberty and adolescence. Follow-up and drug therapy]. 245 60

In patients with focal epilepsy, EEG spike rate fluctuates considerably over time. We had previously shown that seizure occurrence played an important role in these fluctuations. We undertook this study to confirm this finding with better control of critical variables such as state of alertness and spike quantification, and to assess the spatial extent of the changes. Background activity changes and antiepileptic drug levels were also examined in relation to spiking. Spike discharge rate increased in the hours and days following seizures in widespread brain regions including, but not restricted to, the seizure focus. Spike rate did not change systematically before seizures. Postictal changes in background activity did not parallel spike fluctuations. Decreased antiepileptic drug levels did not cause increased spike rate. These results indicate that, following seizures, there is activation of interictal spiking which is not paralleled by changes in background activity. It is most often widespread and not necessarily most prominent at the site of seizure onset.
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PMID:Interictal spiking increases after seizures but does not after decrease in medication. 246 78

There is no definite agreement on the localization of the PEAL generators. However, some authors have claimed that the temporal auditive cortex plays a role. Based on these assumptions we searched for the eventual changes developing in PEALs in patients who applied for temporal epilepsy, where the temporal cortex activity is somehow impaired. Altogether 19 patients were explored. The results were compared with 17 matched healthy controls and 4 patients with focal epilepsy who, at the time of the study, received the same treatment as the temporal epileptic subjects. In every case PEATs and PEALs were studied. One thousand Hz less than time monoaural stimulation, 50 db and 50 ms duration was employed for evoking PEALs. Recording was done with surface electrodes located at Cz, F3 and F4 coupled with an electrode placed at the contralateral mastoid; 500 ms sweep were averaged. Band-pass was set up between 1 and 125 Hz and latencies and amplitudes were studied for both types of evoked responses, PEATs and PEALs. No statistical difference was found between patients and both control groups when PEATs mean parameters were analyzed. For further PEALs results, patients were divided into 3 groups; a) Those with right temporal epilepsy (n = 6) (R); b) Those with left temporal epilepsy (n = 7) (L); c) Those in whom the affected side could not be determined (n = 7) (N). In R it was observed, when stimulating the left ear, a delay in the arrival of P1 (F4 mea 87 +/- 10.4 ms) and N1 (F4 mean 122.33 +/- 6.1 ms; Cz mean 170.75 +/- 18.8 ms) waves.(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:[The role of the temporal cortex in long-latency auditory evoked potentials]. 248 30

A new operative approach has been designed for the relief of medically intractable focal epilepsy. It is intended particularly to be used in those cases where the epileptogenic lesion lies in "unresectable" cortex; that is, those cerebral regions subserving speech, memory, and primary motor and sensory function. The procedure is based upon experimental evidence indicating 1) that epileptogenic discharge requires substantial side-to-side or horizontal interaction of cortical neurons, and 2) that the major functional properties of cortical tissue depend upon the vertical fiber connections of the columnar units. The technique requires severing of tangential intracortical fibers while preserving the vertical fiber connections of both incoming and outgoing nerve pathways and of the penetrating blood vessels which also have a vertical orientation. In this study, the effect of multiple subpial transection was assessed on both function and seizure control. The effect on function was reviewed in 32 cases; only 20 cases were evaluated with respect to seizure control, since a follow-up period of 5 years or more (5 to 22 years) is required before conclusions can be drawn. Multiple subpial transection was applied to the precentral gyrus in 16 cases, the postcentral gyrus in six, Broca's area in five, and Wernicke's area in five. With respect to function, the major finding was that none of the 32 patients has suffered a clinically significant behavioral deficit (although subtle deficits could be detected by careful neurological examination). Complete control of seizures has been obtained in 11 (55%) of the 20 cases evaluated. Nine patients developed recurrent seizures consequent to progressive disease unsuspected before operation (Rasmussen's encephalitis in five, tumor in three, and subacute sclerosing panencephalitis in one). In none of these cases, however, did the recurrent seizures arise in the transected zone. Thus, the results indicate that multiple subpial transection is about as effective as standard excisional therapy, and can be successfully employed when epileptogenic lesions encroach upon cortical territories, the removal of which would be functionally incapacitating.
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PMID:Multiple subpial transection: a new approach to the surgical treatment of focal epilepsy. 250 54

There is a tendency to call benign focal epilepsy of childhood with centrotemporal origin rolandic epilepsy for the sake of brevity. Martinus Rulandus, a 16th-century medical author, deserves this homage far more than Rolando. Attention is drawn to this 1597 description of the disease, which has become the subject of many publications since 1952. Many characteristics of the disease were already noticed about four centuries ago.
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PMID:A tribute to Martinus Rulandus. A 16th-century description of benign focal epilepsy of childhood. 249 86

Penicillin is well known as a potent convulsive agent. A cortical topical, intracerebral or systemic administration of penicillin produces abnormal and paroxysmal activity which may lead to seizure, and has been used in the investigation of the mechanisms of epilepsy. This is a report on the studies of an acute effect of potassium penicillin G on two models of experimental focal epilepsy: a) amygdaloid kindling model, and b) kainic acid-induced limbic seizure model. Twelve adult cats for amygdaloid kindling model (kindling group), six for KA-induced limbic seizure model (KA group) and four for a control group were prepared for this study. In kindling group, after completion of kindling procedure, 40-60 X 10(4) unit/kg of potassium penicillin G (PC), dissolved in sterilized normal saline, was injected intraperitoneally during an interictal period. In KA group, 1 micrograms of KA was injected into the left amygdala. Limbic seizures occurred frequently during the initial 5 hours but subsided completely within 3 days. After a latent period, spontaneous secondarily generalized convulsion occurred from 30 to 60 days after KA injection. The cats were completely normal in their behavior during the interictal period. During the interictal stage after the first generalized convulsion has been observed, 15-20 X 10(4) unit/kg of PC was injected intraperitoneally. In the control group, 40-60 X 10(4) unit/kg was injected intraperitoneally. Electroclinical observations were continued until 5 hours after PC injection in three groups. In the control group, no cats developed generalized convulsion. In the kindling group, 4 of 12 cats developed focal amygdaloid seizures with secondary generalization by nearly the identical doses required in the control group.(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:[Acute effect of penicillin G on feline models of focal epilepsy]. 250 15


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