scholarly journals Hyperventilation-Induced EEG Slowing With Altered Awareness: Non-epileptic, Epileptic or Both?

2021 ◽  
Author(s):  
Jayant N. Acharya ◽  
Vinita J. Acharya
Keyword(s):  
Altered Awareness

scholarly journals Temporal lobe epilepsy presenting with delusion of love

2012 ◽  
Vol 1 (1) ◽  
pp. 65-67
Author(s):  
Dibya Tulachan ◽  
Rajesh Yadav ◽  
Bindu Gurung
Keyword(s):  
The Self ◽  
Epileptic Focus ◽  
Temporal Region ◽  
Partial Seizures ◽  
Complex Partial Seizures ◽  
Medical College ◽  
Radio Imaging ◽  
Altered Awareness ◽  
Paranoid Psychosis ◽  
Secondary Generalization

Complex partial seizures are characterized by altered awareness of the self and the environment. Consciousness is retained unless secondary generalization occurs. Apart from the area and automatism patients may also experience odd disturbances of thought, emotion, deza vu, Jamai’s vu. depersonalization, derealization or even vivid hallucination of past experience (experiential phenomena). Here we report an adolescent lady presenting with non-convulsive status epileptics manifesting in the form of mood disorder with grandiose delusions of increased ability and identity as well as erotomania. Radio imaging and EEG revealed an epileptic focus originating from the parieto-temporal region. The case report cautions against an organic epileptic seizure that might be mistaken for dissociative, pseudodmentia, paranoid psychosis or even schizophrenia.DOI: http://dx.doi.org/10.3126/jonmc.v1i1.7290 Journal of Nobel Medical College Vol.1(1) 2011 65-67

EPILEPSY IN THE ELDERLY: GETTING TO THE HEART OF THE MATTER, A CASE REPORT

2015 ◽  
Vol 86 (11) ◽  
pp. e4.150-e4
Author(s):  
Lliwen Jones ◽  
Ann Johnston
Keyword(s):  
Temporal Lobe ◽  
Brain Lesion ◽  
The Elderly ◽  
Cardiac Conduction ◽  
Conduction Abnormality ◽  
Epilepsy In The Elderly ◽  
Life Saving ◽  
Pr Interval ◽  
Altered Awareness ◽  
Pacemaker Insertion

A 77-year old man presented following two episodes of altered awareness, with facial and hand automatisms. He had been seizure-free for 23 years, taking phenytoin following excision of a meningioma.A diagnosis of symptomatic temporal lobe focal seizures was made and phenytoin substituted with carbamazepine. A 12-lead electrocardiogram (ECG) revealed prolonged PR interval of 288 milliseconds. MR imaging revealed a residual right temporal lobe cystic lesion with focal enhancement. Following discussion at the epilepsy-cardiology multidisciplinary meeting (MDT) and anticipating a neurosurgical/anaesthetic work-up, a 24-hour ECG was performed, which demonstrated high grade atrioventricular block with 6.5 seconds of ventricular standstill.He was admitted as an emergency, during which he collapsed with further ventricular standstill. He underwent pacemaker insertion, remaining seizure-free.This case illustrates the challenges of epilepsy consultations and management in the elderly with dual pathology. The urgency here was not the potential re-occurrence of the brain lesion, but the conduction abnormality which unmasked serious cardiac pathology. Careful evaluation of the ECG is vital in all patients presenting with episodes of altered consciousness however the pursuit of a recognised benign cardiac conduction abnormality may in the elderly just prove life-saving. The value of a dedicated epilepsy-cardiology MDT therefore cannot be underestimated.

Altered awareness of voluntary action after damage to the parietal cortex

2003 ◽  
Vol 7 (1) ◽  
pp. 80-84 ◽  
Author(s):  
Angela Sirigu ◽  
Elena Daprati ◽  
Sophie Ciancia ◽  
Pascal Giraux ◽  
Norbert Nighoghossian ◽  
...  
Keyword(s):  
Parietal Cortex ◽  
Voluntary Action ◽  
Altered Awareness

Consciousness, Attention, and Hypnoidal Effects during Firewalking

1997 ◽  
Vol 17 (2) ◽  
pp. 153-163 ◽  
Author(s):  
Justine A. Hillig ◽  
Jean Holroyd
Keyword(s):  
Baseline Condition ◽  
Subjective Experiences ◽  
Altered Awareness ◽  
Retrospective Questionnaire

Subjective experiences of individuals who walked on hot coals during a firewalking ceremony were investigated. This study extended and partially supported an investigation reported by Pekala and Ersek in this Journal [1]. Twenty-three participants completed retrospective questionnaire assessments concerning their subjective experiences while walking on hot coals. Results from twelve participants were compared with the participants' own experiences during a baseline condition. The data suggested that attention during firewalking is significantly more “one-pointed” than during a baseline condition, and that consciousness may be characterized as more “hypnoidal” than during a baseline condition. Walking on hot coals was further characterized by trends toward reporting increased altered awareness, altered experience, and absorbed attention. Participants who developed a greater degree of blistering reported significantly greater hypnoidal effects during the firewalk than those who developed a lesser degree of blistering.

scholarly journals The medial frontal-prefrontal network for altered awareness and control of action in corticobasal syndrome

Brain ◽  
2013 ◽  
Vol 137 (1) ◽  
pp. 208-220 ◽  
Author(s):  
Noham Wolpe ◽  
James W. Moore ◽  
Charlotte L. Rae ◽  
Timothy Rittman ◽  
Ellemarije Altena ◽  
...  
Keyword(s):  
Corticobasal Syndrome ◽  
Altered Awareness ◽  
And Control

Hallucinations in children with conduct and emotional disorders: II. The follow-up study

1984 ◽  
Vol 14 (3) ◽  
pp. 597-604 ◽  
Author(s):  
M. E. Garralda
Keyword(s):  
Emotional Disorders ◽  
Conduct Disorders ◽  
Depressive Illness ◽  
Controlled Study ◽  
Follow Up Study ◽  
Increased Risk ◽  
Organic Brain ◽  
The Mean ◽  
Altered Awareness

SynopsisIn a controlled study, 20 children with hallucinations and emotional or conduct disorders were followed up into adulthood. The mean follow-up time was 17 years and the mean age at follow-up was 30 years. Hallucinations in childhood did not carry an increased risk for psychoses, depressive illness, organic brain damage or other psychiatric disorders. The continuation of hallucinations and episodes of altered awareness in some of the subjects may indicate a special predisposition to hallucinate.

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