Respiratory gases, air pollution and epilepsy.
Respiratory gases, air pollution and epilepsy. Rev Neurol (Paris). 2019 Sep 10;: Authors: Fernandes MJS, Carletti CO, Sierra de Araújo LF, Santos RC, Reis J Abstract A growing number of studies have shown that exposure to air pollutants such as particulate matter and gases can cause cardiovascular, neurodegenerative and psychiatric diseases. The severity of the changes depends on several factors such as exposure time, age and gender. Inflammation has been considered as one of the main factors associated with the generation of these diseases. Here we present some cellular mechanisms activated by air pollution that may represent risk factors for epilepsy and drug resistance associated to epilepsy. PMID: 31519304 [PubMed - as supplied by publisher]
We present the case of a 12-year-old girl with medically refractory epilepsy and a vagal nerve stimulator (VNS), who experienced severe obstructive sleep apnea (OSA) with respiratory events closely matching her VNS settings. We demonstrated a real-time decrease in OSA through an in-laboratory VNS titration study, decreasing her VNS frequency from 20 Hz to 10 Hz. We were able to demonstrate a baseline level of OSA by turning off the VNS. We then effectively treated her residual OSA with continuous positive airway pressure (CPAP). Novel to our case is that this in-laboratory VNS titration did not result in any subsequent inc...
ConclusionsAll patients with severe autism had SPAs. However, they did not correlate with FDG-PET findings.
Conclusions: In>8 years of observation, most participants experienced a robust and sustained antidepressant response to SCC DBS. News in Context: Ethical issues raised around deep brain stimulation (DBS) research Closing the Circuit: Helen Mayberg’s research could revolutionize depression treatment Expo Day: Neuroenginnering, BPI, Arrowsmith Program &ARPF from SharpBrains
ConclusionThis review confirms that healthcare professionals should discus SUDEP with CYPwE and/or their caregivers at or around the time of diagnosis and that the discussion should include prevalence of SUDEP, risk factors and risk reduction methods relative to the individual concerned. Apart from delivering SUDEP information face-to-face, with written or online information provided to reinforce messages, there is a lack of evidence on “how” to impart this sensitive information. Further research exploring the most acceptable and effective methods of discussing SUDEP with CYPwE and their caregivers is therefore indicated.
Autoimmune encephalitis should be considered when patients with posterior reversible encephalopathy syndrome show atypical clinical courses.
Conclusions Respiratory complications are the leading nonseizure cause of 30-day unplanned readmissions in patients with generalized convulsive epilepsy and status epilepticus. Further research on identifying appropriate interventions to reduce readmissions from respiratory causes may improve outcomes for patients in these epilepsy subgroups.
ConclusionsThe findings of this study demonstrate that the proposed prediction strategy is suitable for the prediction of seizure onset.
Authors: Scheffer IE, Liao J Abstract [Box: see text]. PMID: 31601119 [PubMed - as supplied by publisher]
Publication date: December 2019Source: Molecular Genetics and Metabolism Reports, Volume 21Author(s): Remi Stevelink, Faith Pangilinan, Floor E. Jansen, Kees P.J. Braun, International League Against Epilepsy Consortium on Complex Epilepsies, Anne M. Molloy, Lawrence C. Brody, Bobby P.C. KoelemanAbstractAltered vitamin B6 metabolism due to pathogenic variants in the gene PNPO causes early onset epileptic encephalopathy, which can be treated with high doses of vitamin B6. We recently reported that single nucleotide polymorphisms (SNPs) that influence PNPO expression in the brain are associated with genetic generalized epilep...
In this report, we present a case of UFS, not due to HFS, highlighting clinical red flags for an alternative diagnosis.