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

1. Three different cortical areas were found with respect to the development, by repeated electrical stimulation, of electrographic and motor seizures in rats. Paleocortical areas responded similarly to subcorticallimbic structures. Initial after-discharges (ADs) were accompanied by little or no behavioral response. With spaced reptition ADs became longer, propagated more strongly, and were eventually accompanied by a convulsive response in which the dominant components were forelimb clonus and rearing. Anterior neocortical placements, on the other hand, yielded convulsive responses from the first AD. These convulsive responses became stronger with repeated stimulation until a mild form of extension was triggered. ADs remained relatively short. Posterior neocortical areas showed electrographic developments very similar to those found in anterior neocortical areas but convulsive responses never developed. 2. All areas tested showed similar reductions in AD thresholds when repeatedly stimulated. Initial thresholds were lower in paleocortical than in neocortical areas. 3. Motor seizures developed more rapidly with stimulation of contralateral homologous sites after seizures had been developed in the primary (initially stimulated) focus. AD thresholds, on the other hand, were not significantly affected in contralateral sites after being lowered in primary sites.
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PMID:Modification of seizure activity by electrical stimulation: cortical areas. 4 98

"Fahr's Disease" is characterized by bilateral and symmetrical calcifications of the Globus Pallidus (systematically extending to the Commisura Anterior and the Capsula Interna, and less commonly to the Putamen, the Centrum Semi-Ovale and the Cerebral Cortex), and of the Cerebellar Nucleus Dentalus (with spreading to the White Matter and the Cortical Lamellae). Lesions or absence of Parathyroids are frequently related, with subsequent metabolic disorders of Phosphorus and Calcium, but idiopathic cases without hypoparathyroid disturbances are also found. A Morgagni-Morel Hyperostosis Frontalis Interna is often associated with "Fahr's Disease", and there could be a relationship between these two affections. We found in three cases the association between "Fahr's Disease" and Morel's Nodular Dysgenesis of the Frontal Cortex. Most of the cases are sporadic, but observations with a clear familial incidence are also found. Clinically, various Neurological Disorders (cerebellar, extrapyramidal, pyramidal, dysarthria, epileptic seizures) are often but not always observed; the Psychiatric Disorders found in some cases could be fortuitious associations (psychoses), connected to hypothyroidism (oligophrenia), and in aged patients, to unrelated cerebral vascular or degenerative lesions; very seldom, a dementing state could be connected to the spreading of calcifications to the Cerebral Cortex.
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PMID:[Pallido-dentate calcifications (apropos of 7 anatomo-clinical case reports)]. 69 68

The authors studied 10 patients aged between six and 23 years (mean age 14 years 5 months) with magnetic resonance imaging, which detected bilateral 'macrogyric-like' maldevelopment of the insulo-opercular regions. The data confirm that biopercular gyral anomaly, associated with mental retardation, pseudobulbar palsy (cortical or central) and epilepsy, represents an anatomo-clinical syndrome. Nevertheless, a wide clinical spectrum was found varying from pictures correlating with the topography and extent of the MRI-detected anomaly to conditions indicating wider cerebral involvement. Epilepsy, varying greatly in age at onset and severity, consistently influenced the prognosis for five patients with diffuse EEG abnormalities and intractable seizures with falls. Anterior callosotomy relieved such seizures in one case.
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PMID:Neurological findings and seizure outcome in children with bilateral opercular macrogyric-like changes detected by MRI. 164 32

After reviewing the data of the literature, the authors report their personal series composed of twelve cases. In evaluating the results of surgical treatment only the first ten patients are taken into account. As previously stressed in the literature, callosotomy (total in two cases and anterior in the remainder) has proved effective in abolishing or significantly reducing atonic seizures. Tonico-clonic seizures have also benefitted in some cases, while in complex partial and partial seizures the effects of callosotomy have been so far unpredictable, albeit in some patients all kinds of seizures have been abolished or definitely reduced. The most impressive EEG and neuropsychological features after callosotomy are briefly summarized. Anterior callosotomy seems to be a relatively safe procedure, its results appear to be, on the whole, gratifying even though in patients with severe mental retardation and Lennox-Gastaut syndromes remain controversial.
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PMID:Callosotomy for the management of intractable non-focal epilepsy: a preliminary personal assessment. 292 91

A review of complications in a series of 560 consecutive craniotomies for surgery of epilepsy shows the mortality to be nil and the morbidity very low. Results on the seizure tendency for temporal resections are presented with emphasis on extent and modalities of removal. In this series the success/failure ratio was in the order of 80/20%. Patients with-right sided removal tend to do better than those with left-sided operations. Removal of the hippocampal formation appears to significantly improve the results. Patients studied with intracerebral electrodes tend as a group to do better than those operated without depth electrodes. Anterior temporal resection is usually followed by a significant increase in intellectual function when measured one year after surgery.
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PMID:Risk and benefit in the surgery of epilepsy: complications and positive results on seizures tendency and intellectual function. 317 92

Twenty-four medically refractory seizure patients, who did not qualify for excisional surgery, had anterior two-thirds corpus callosum section. Three to 11 years' postoperative follow-up suggests that this procedure can (1) lateralize a frontal lobe focus, which may lead to subsequent localized excision and (2) significantly reduce seizure frequency and severity in 75% of the patients without giving any permanent neurologic deficits. Patients with an ictal focus confined to one frontal lobe did best (8/8 improved), followed by patients with secondarily generalized seizures and multifocal bilateral foci (5/6 improved). Patients with mental retardation benefited less frequently (5/10 improved), but 4/4 from this group with ictal falls associated with Lennox-Gastaut syndrome did benefit. In this series, the improvements following the anterior partial section were lasting if present at 1 year of follow-up. Anterior corpus callosum section should be considered as a diagnostic (lateralizing) and therapeutic option in appropriately defined medically refractory patients who do not qualify for excisional surgery.
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PMID:Results of anterior corpus callosum section in 24 patients with medically intractable seizures. 339 67

A rare case of idiopathic brain stone with psychomotor epilepsy is reported. On December 9, 1982, a 29-year-old man with 18 years' history of psychomotor epilepsy was admitted to our neurosurgical service. He had no history of neonatal asphyxia, trauma or other neurological diseases. No neurological deficit was disclosed. Skull x-ray films and plain CT scan demonstrated a calcified mass in the right temporal lobe. No contrast enhancement was noted. Despite an extensive search, the etiology of the calcified mass was not revealed. Conventional EEG showed focal spike discharges in the right anterior temporal lead and telemetered EEG monitoring for 24 hours disclosed sharp wave burst in the right temporal lobe. In spite of appropriate medication, seizures persisted. At surgery, electrocorticogram and stereo-electrocorticogram showed paroxysmal epileptiform events in the right temporal lobe. Anterior temporal lobectomy with excision of calcified mass was done. Histopathological examination demonstrated thick collagen fibers and gliosis around the stone, and diagnosis of idiopathic brain stone was made. We reviewed five previously reported cases. We also emphasized an epileptogenicity of idiopathic brain stone and indication of surgical excision which may result in an excellent control of epilepsy.
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PMID:[A case of idiopathic brain stone presenting as psychomotor epilepsy]. 380 7

Sleep has a marked influence on local epileptogenicity. Sleep deprivation appears to have an independent activating effect. It is effective in provoking spike-wave paroxysms in primary generalized epilepsy. Sleep recordings help in differentiating between partial and generalized epilepsies. Anterior temporal lobe discharges and partial seizures are facilitated by non-rapid eye movement (NREM) sleep, which also has a facilitatory effect on generalized discharges. Rapid eye movement (REM) sleep may activate frontal lobe, amygdaloid and supplementary motor area seizures, whereas it de-activates partial seizures from other regions, often revealing an occult focus. REM sleep also deactivates generalized seizures. Specific epileptic syndromes are related to the sleep-wakening cycle, i.e. Rolandic epilepsy, other benign partial epilepsies in childhood, and awakening epilepsy. Patients with an uncertain or unknown type of epilepsy should always be examined with routine electroencephalography (EEG) recording, sleep deprivation and spontaneous or sedated sleep recordings.
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PMID:Sleep and epilepsy. 393 93

Reasons why nine patients with Type II complex partial seizures continue to have disabling attacks after anterior temporal lobectomy were sought. Videotaped seizures revealed extratemporal features during onset of ictus, such as postural, contraversive head, eyes, and focal motor movements in four patients, and automatic ambulation, running, and motions similar to bicycling action or "bringing in a catch of fish" in five patients. Depth electrographic patterns also suggested a focus outside the hippocampus or amygdala in seven patients. Two patients had frontal lobe dysfunction on neuropsychological tests. Anterior temporal lobectomy is not indicated in Type II complex partial seizures.
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PMID:Type II complex partial seizures: poor results of anterior temporal lobectomy. 653 29

Chronic depth electrode recording has proven to be a safe and indispensable tool for the investigation of intractable seizures. Anterior callosotomy appears as an excellent palliative treatment at least in bifrontal foci. It is hoped that chronic depth electrode recording will be used more widely before callosotomy in order to establish more clearly the best indication for such a surgical procedure.
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PMID:Anterior callosotomy and chronic depth electrode recording in the surgical management of some intractable seizures. 667 Aug 64


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