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 various demographics. during this interesting quantity, the writer info a couple of hundred situations the place well-being care practitioners confronted strange demanding situations in treating the illness. All elements of epilepsy are explored via those situations, from the occasionally complicated preliminary analysis to sufferer responses and therapy tools. during this best-selling brief textual content, the writer additionally offers the teachings discovered from those notable situations. a hundred and ten perplexing instances in Epilepsy comes in handy for clinical scholars, citizens and all future health care practitioners, because the practices used to appreciate those situations may be utilized to different diagnoses to boot.
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Extra info for 110 puzzling cases of epilepsy
There was a delay of almost 4 years before a correct diagnosis was reached. Secondly, this case exempliﬁes the importance of using a syndromic approach when classifying patients with epilepsy. If one uses the International League Against Epilepsy classiﬁcation of epilepsies and epileptic syndromes proposed in 1989,1 the approach to management of patients with epilepsy can be totally 35 MISDIAGNOSED EPILEPSY IN A YOUNG GIRL different. Classifying patients by epilepsy syndrome will result in the choice of proper antiepileptic drugs and can even avoid unnecessary imaging procedures.
Mesial frontal epilepsy. Epilepsia 1998;39(suppl 4):49–61. von Cramon D, Jurgens U. The anterior cingulate cortex and the phonatory control in monkey and man. Neurosci Biobehav Rev 1983;7:423–5. Williamson PD, Spencer DD, Spencer SS, Novelly RA, Mattson RH. Complex partial seizures of frontal lobe origin. Ann Neurol 1985;18:497–504. 33 Case 10 MISDIAGNOSED EPILEPSY IN A YOUNG GIRL Satish Jain History A young girl presented in 1992 with a history of four generalized tonic–clonic seizures that had begun at the age of 13 years.
2: Ictal EEG showing bitemporal rhythmic theta-wave activity. 11 A PATIENT WHO WOULD NOT LEAVE HIS APARTMENT FOR HOURS EVERY 3 DAYS Treatment and outcome Lamotrigine was added to the phenytoin and increased to 800 mg/day. At the time of the patient’s last visit, his seizure frequency had decreased from one seizure every 3 days to one every 2 weeks. 1,2 Non-convulsive status epilepticus is usually treated acutely with benzodiazepines, phenytoin (for focal non-convulsive status epilepticus) or valproate (for absence status epilepticus).
110 puzzling cases of epilepsy by Dieter Schmidt, Steven C. Schachter