Download 110 puzzling cases of epilepsy by Dieter Schmidt, Steven C. Schachter PDF

By Dieter Schmidt, Steven C. Schachter

From pediatric to the aged, from contractible to refractive, epilepsy is an disorder that manifests in lots of kinds and throughout a number demographics. during this attention-grabbing quantity, the writer info multiple hundred cases the place overall healthiness care practitioners confronted strange demanding situations in treating the affliction. All facets of epilepsy are explored via those situations, from the occasionally complicated preliminary prognosis to sufferer responses and remedy equipment. during this best-selling brief textual content, the writer additionally provides the teachings realized from those amazing instances. a hundred and ten confusing instances in Epilepsy turns out to be useful for clinical scholars, citizens and all future health care practitioners, because the practices used to appreciate those instances should be utilized to different diagnoses to boot.

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110 puzzling cases of epilepsy

From pediatric to the aged, from contractible to refractive, epilepsy is an ailment that manifests in lots of kinds and throughout more than a few demographics. during this attention-grabbing quantity, the writer info a couple of hundred circumstances the place future health care practitioners confronted strange demanding situations in treating the disorder.

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She became aware of her seizures at the age of 5, describing ‘weird feelings in her head’ followed by a scared look, and then her head and eyes would roll back with stiffening and shaking. Several routine EEGs were normal. Her seizures failed to respond to all available antiepileptic drugs. During video-EEG monitoring at the age of 16, she had diffuse anterior hemispheric seizure onset, maximal on the left, as well as numerous psychic sensations that were unaccompanied by EEG changes. She was thought to have a mixed disorder with seizures and pseudoseizures or some seizures that did not project to the surface.

A scalp EEG showed occasional generalized sharp waves, and a brain computed tomography (CT) scan was normal. She was started on carbamazepine 500 mg/day. She continued to have occasional generalized tonic–clonic seizures during wakefulness and the dose of carbamazepine was gradually increased to 800 mg/day. She had another 10–12 generalized tonic–clonic seizures, and acetazolamide was added. She continued to have recurrent generalized tonic–clonic seizures and was admitted to the hospital for video-EEG recording.

The spasms are relatively easily misdiagnosed in older people. The recognition of their intractability is depressing but an important reality. Since our experience with these two cases, we are now aware of four other patients in our center and several more in other centers. References 1. Dulac O, Plouin P, Schlumberger E. Infantile spasms. In: Wyllie E, ed. The treatment of epilepsy: principles and practice 2nd ed. Baltimore: Williams and Wilkins; 1996:540–72. 2. Jeavons PM, Livet MO. West syndrome: infantile spasms.

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