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Condition: Epilepsy
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Total 230 results found since Jan 2013.

Case report: Young-onset large vessel ischemic stroke due to hyperhomocysteinemia associated with the C677T polymorphism on 5,10-methylenetetrahydrofolate reductase and multi-vitamin deficiency
Hyperhomocysteinemia is an important risk factor for cerebral infarction. Herein, we report on a 30-year-old man previously diagnosed with epilepsy who presented with right hemiplegia and total aphasia. Magnetic resonance imaging showed a fronto-temporal ischemic lesion due to occlusion of the left middle cerebral artery. Clinical testing and imaging demonstrated that he had hyperhomocysteinemia induced by multiple factors including the C677T polymorphism on 5.10-methylenetetrahydrofolate reductase (MTHFR), and multiple vitamin deficiencies. The C677T polymorphism on MTHFR is closely related to hyperhomocysteinemia and fol...
Source: Frontiers in Neurology - May 18, 2023 Category: Neurology Source Type: research

What Are the Classifications of Perinatal Stroke?
Discussion Perinatal stroke occurs in about 1:1000 live births and is a “focal vascular injury from the fetal period to 28 days postnatal age.” Perinatal stroke is the most common cause of hemiparetic cerebral palsy and causes other significant morbidity including cognitive deficits, learning disabilities, motor problems, sensory problems including visual and hearing disorders, epilepsy, and behavioral and psychological problems. Family members are also affected because of the potential anxiety and guilt feelings that having a child with a stroke presents, along with the care that may be needed over the child&#...
Source: PediatricEducation.org - May 1, 2023 Category: Pediatrics Authors: Pediatric Education Tags: Uncategorized Source Type: news

Epileptic nystagmus in MELAS and non-mitochondrial disorders
We eagerly read the article by Aykac et  al. about 20 patients with horizontal epileptic nystagmus [1]. One of these patients was reported as having mitochondrial encephalopathy, lactic acidosis, and stroke-like episodes (MELAS) syndrome [1]. It was found that the ictal discharge pattern was rhythmic fast activity with a mean frequency o f 15 Hz, that ictal discharges originated from the parieto-occipital, temporo-occipital, parieto-occipito-temporal, temporal, occipital, or centro-parietal areas, that the fast phase of the nystagmus was beating away from the side of ictal discharges, and that the origin of the ictal disc...
Source: Seizure: European Journal of Epilepsy - January 1, 2023 Category: Neurology Authors: Josef Finsterer Tags: Letter to the editor Source Type: research

Ischaemic or transient attack? Magnetic resonance imaging in transient ischaemic attack: a review of 106 cases
CONCLUSIONS: The early use of MRI in the clinical suspicion of TIA makes it possible to gather evidence of CRIS and optimises the diagnostic and therapeutic approach for patients.PMID:36440745 | DOI:10.33588/rn.7511.2022232
Source: Revista de Neurologia - November 28, 2022 Category: Neurology Authors: A C Novo P A Pinz ón-Benavides P Rozas-Fern ández M Mart ínez-Palicio A Garc ía-Rúa C Ant ón-González I Casado-Men éndez R Su árez-Moro M T Temprano-Fern ández Source Type: research

Clinical Features and Risk Factors of Mortality in Patients with Posterior Reversible Encephalopathy Syndrome
CONCLUSIONS: Our results indicate that PRES could be considered as a sign of a very high-risk patient. We also demonstrated that heart failure and stroke were independent risk factors for death in patients with PRES; moreover, pregnancy was a protective factor.PMID:36419591 | PMC:PMC9678458 | DOI:10.1155/2022/9401661
Source: Behavioural Neurology - November 24, 2022 Category: Neurology Authors: Hong-Wei Cui Ru-Yi Lei Bo-Ai Zhang Source Type: research

Periodic electroencephalographic discharges and epileptic spasms involve cortico-striatal-thalamic loops on Arterial Spin Labeling Magnetic Resonance Imaging
Brain Commun. 2022 Oct 6;4(5):fcac250. doi: 10.1093/braincomms/fcac250. eCollection 2022.ABSTRACTPeriodic discharges are a rare peculiar electroencephalogram pattern, occasionally associated with motor or other clinical manifestations, usually observed in critically ill patients. Their underlying pathophysiology remains poorly understood. Epileptic spasms in clusters and periodic discharges with motor manifestations share similar electroencephalogram pattern and some aetiologies of unfavourable prognosis such as subacute sclerosing panencephalitis or herpes encephalitis. Arterial spin labelling magnetic resonance imaging i...
Source: Herpes - November 3, 2022 Category: Infectious Diseases Authors: Monika Eisermann Ludovic Fillon Ana Saitovitch Jennifer Boisgontier Alice Vin çon-Leite Volodia Dangouloff-Ros Thomas Blauwblomme Marie Bourgeois Marie-Th érèse Dangles Delphine Coste-Zeitoun Patricia Vignolo-Diard M élodie Aubart Manoelle Kossorotoff Source Type: research

Adult-onset Krabbe disease presenting with progressive myoclonic epilepsy and asymmetric occipital lesions: A case report
We reported the case of an adult-onset KD presenting with progressive myoclonic epilepsy (PME) and cortical lesions mimicking mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes (MELAS) syndrome. The whole-exome sequencing (WES) identified a pathogenic homozygous missense mutation of the GALC gene. Parents of the patient were heterozygous for the mutation. The clinical, electrophysiological, and radiological data of the patient were retrospectively analyzed. The patient was a 24-year-old woman presenting with generalized seizures, progressive cognitive decline, psychiatric symptoms, gait ataxia, and ...
Source: Frontiers in Neurology - October 21, 2022 Category: Neurology Source Type: research

Haploinsufficiency of PRRT2 Leading to Familial Hemiplegic Migraine in Chromosome 16p11.2 Deletion Syndrome
This report highlights the importance of counseling patient families regarding acute paroxysmal presentations in this syndrome. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text
Source: Neuropediatrics - July 17, 2022 Category: Neurology Authors: Sen, Kuntal Genser, Ilyse DiFazio, Marc DiSabella, Marc Tags: Short Communication Source Type: research

Wernicke Encephalopathy Mimicking MELAS
CONCLUSIONS: the case suggests that thiamine deficiency presumably causes mitochondrial dysfunction with cerebrospinal fluid lactic acidosis and a stroke-like lesion mimicking MELAS syndrome. It should be further studied whether nutritional deficits, such as thiamine deficiency, could give rise to secondary stroke-like lesions.PMID:35630076 | DOI:10.3390/medicina58050660
Source: Medicina (Kaunas) - May 28, 2022 Category: Universities & Medical Training Authors: Josef Finsterer Source Type: research