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Query: UMLS:C0036572 (seizures)
 80,221 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

This paper offers a perspective for understanding the brain as a dynamic system, continually compensating for changing events in its environment. In particular, it presents some of the neurophysiological responses to closed head injury, such as seizures and migraines, and the ability to maintain these changes in obviously advantageous noninvasive methods such as thermology and video taped biomechanics. The ultimate question asked is for a reconciliation of the paradoxical deduction that hyperactivity of the nervous system is parallel in the form of measured neural activity to no activity at all.
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PMID:The brain: a dynamic system tending toward homeostasis. 226 55

The papers that follow are based on a symposium presented at the Twelfth European Conference of the International Neuropsychological Society held in Antwerp, Belgium between 5-8th July 1989. The symposium, using closed head injury as a vehicle, attempted to overview approaches to the study of systems function and dysfunction. Rather than concentrate on skill and subtest deficit, the papers addressed diffuse, systemic, subcortical effects and disruption of lower integration centers. They addressed the utility of neural network models to develop theory to explain deficits in behavioral integrating systems; the role of systems approaches in better understanding the overlapping clinical subsets of migraine and seizure disorders; the provision of visual examples of lateralized systemic changes associated with closed head injury through infrared thermology and the presentation of an application of biomathematical systems modeling with potent applications for diagnosis and rehabilitation. Finally the papers were discussed in terms of the clinical and philosophical issues.
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PMID:Neuropsychological systems deficits and the isomorphism of control. 226 64

Theoretical issues associated with memory, neurocognitive and noradrenergic mechanisms in posttraumatic migraine and dysautonomic complex-partial seizure disorders are reviewed, compared and discussed. Additionally, pretreatment Contingent Negative Variation (CNV) was recorded in a No-GO/GO reaction-time paradigm for 15 normal, and 18 posttraumatic migraine and seizure patients tested not more than three months postinjury. Normals demonstrated that CNV GO and NO-GO responses significantly differed. In both migraine and seizure patients GO and NO-GO trials did not differ significantly. In uncontrolled trials, it was noted that B-Blocker administration increased the difference between GO and NO-GO trials for both migraine and seizure patients over midline leads.
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PMID:Lateralized effects of migraine and ANS seizures after closed head injury. 226 66

Alternating hemiplegia is an infrequent form of complicated migraine. Clinical course has similarities with seizure disorders and correct diagnosis may be difficult. We report three patients whose onset in early childhood was with general impairment, transient hemiplegia, ocular movements and vasomotor symptoms. Clinical course of alternating hemiplegia is characterized by progressive neurologic deterioration. Intermittent motor impairment is alternating in side and later during the episodic attacks headache is present. Laboratory, electrophysiologic and neuroradiologic procedures are not demonstrative. In this report we show the findings in three patients in relation to the symptoms they presented, the utility of paraclinical investigations and their response to flunarizine treatment.
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PMID:[Alternating hemiplegia in infancy: clinical features, clinical course and treatment based on three cases]. 236 98

Recently presented data have allowed us to detect an increasing number of cases which present bilateral occipital calcifications and epilepsy or migraine. They have been indicated for the most part to have atypical forms of Sturge-Weber disease without facial nevus flammeus. Two pediatric patients are dealt with here, who, while presenting some differences from the electroclinical point of view, are characterized by typical cortico-subcortical bilateral occipital growing calcifications. Generally, other authors consider the first phase of this syndrome to comprise benign development; only in a second phase does worsening of the fits follow, as well as a bad prognosis. On the contrary, in our case up to now, the patients have been well; the seizures are under control with AEDs and EEG has not worsened, in spite of growing occipital calcifications.
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PMID:Growing bilateral occipital calcifications and epilepsy. 240 6

A case of a 13-year-old girl with bilateral cortical calcifications of the Sturge-Weber type at CT examination, without cutaneous lesions and ocular abnormalities is described. She had seizures appearing within the first year of life which never recurred since the age of two years. At the age of ten years she began to suffer from occasional migraine attacks. Her neurological examination and psychological testing did not show any significant abnormality. This case can be regarded as an unusual atypical form of Sturge-Weber syndrome, unless the existence of a new disorder is assumed.
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PMID:Bilateral cortical calcifications with benign clinical course: an unusual case of Sturge-Weber syndrome? 261 27

Migraine, a clinical syndrome of unknown etiology, is a common cause of a variety of visual disturbances. This review describes the visual alterations associated with migraine syndromes of particular interest to the ophthalmologist; acephalgic, ocular, and ophthalmoplegic. Several current theories of migraine pathophysiology are discussed. Migrainous episodes are common and must be differentiated from neurologic dysfunction due to ischemia, inflammation, seizure, and compression. The differentiating characteristics of these conditions as well as a diagnostic algorithm are presented.
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PMID:Visual disturbances of migraine. 265 58

Vascular headaches are among the most prevalent yet poorly understood problems in clinical neurology. Headaches may develop in association with hypertension, seizures, stroke or without a recognizable pathophysiology such as during migraine and cluster headaches. Cephalic blood vessels (pial and dural vessels) are implicated as the most important source for all headaches and are innervated by sensory fibers which arise from ganglia innervating the forehead, scalp and neck. Sensory fibers contain vasoactive neuropeptides which become released from peripheral (perivascular) and central terminations to mediate vasodilation and pain, respectively. The presence of vascular headache implies activation of this final common pain pathway which we have termed the trigeminovascular system. The presence of vascular headache implies activation of this final common pain pathway which we have termed the trigeminovascular system. The existence of such a system a) clarifies certain pain patterns which develop following stimulation of cephalic blood vessels, b) suggests a mechanism to explain the referral of pain to the forehead, c) provides a mechanism to explain the action of certain antimigraine drugs, d) suggests a local mechanism which enhances blood flow under certain pathological conditions. Hence, this review will update existing knowledge about the trigeminovascular system and its role in headache pathophysiology.
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PMID:Pain mechanisms underlying vascular headaches. Progress Report 1989. 266 74

The author discusses the main causes of acute consciousness in childhood: poisoning, epileptic seizures, head trauma and basilar migraine.
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PMID:[Differential diagnosis of impaired consciousness in the child]. 267 59

Flunarizine is a class IV calcium antagonist with a pharmacological profile which suggests its therapeutic potential in a number of neurological and cerebrovascular disorders. It is an effective prophylactic treatment for common or classic migraine in children and adults, and it appears at least as effective as a number of other agents which act by different pharmacological mechanisms, including pizotifen (pizotyline), cinnarizine, methysergide, nimodipine, metoprolol, propranolol, aspirin and cyclandelate. Flunarizine is also effective in reducing the frequency of seizures, when used as an 'add-on' treatment, in some patients with partial or generalised epilepsy resistant to maximal therapy with a combination of several conventional antiepileptic drugs. Placebo-controlled studies show that flunarizine is effective in the treatment of vertigo and associated symptoms of either peripheral or central origin, and in the treatment of cerebrovascular insufficiency where psychological symptoms, rather than vertigo, are the primary symptoms. In the treatment of vertigo, flunarizine appears at least as effective as cinnarizine and more effective than nicergoline, betahistine dichlorhydrate, pentoxifylline (oxpentifylline) and vincamine. Flunarizine therefore is useful in the prophylaxis of migraine, an effective treatment for vertigo and a worthwhile alternative as 'add-on' therapy in patients with epilepsy resistant to conventional drugs.
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PMID:Flunarizine. A reappraisal of its pharmacological properties and therapeutic use in neurological disorders. 268 91


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