scholarly journals Partial Seizures, Etiologies and Associated Comorbidity Factors

2020 ◽  
Vol 19 (2) ◽  
pp. 23-30
Author(s):  
Mezher M Kadhim ◽  
◽  
Jalil I Kadhim ◽  
Haitham H Basee ◽  
Ammar A Mohammed ◽  
...  

Background: Partial seizure is well-defined as sudden extreme, profligate, and limited electrical discharges by gray matter from some portions of the brain due to certain structural & metabolic abnormalities. Objective: To distinguish the etiologies of partial seizures and to clarify its association with the age of affected patients. Patients and Methods: A prospective study, done on all patients with neurological consultation in Al- Batool Teaching Hospital, Baqubah Teaching Hospital and Al Yarmouk teaching Hospital from Nov, 2016 to Dec, 2018. Patients with partial seizures and/with secondary generalization were merged. This was fortified through a full history, physical checkup, EEG, and MRI of the brain. The study’s sample comprising 106 patients with partial seizures, the age ranged from 6-75 years, with 52 males and 54 females. Results: Atypical neuroimaging was found in (61%) of patients. Tumors occurred in (19.7%) of patients, the highest of them below 40 years of age while infarctions comprised 25.5% of patients outside this age. Complex partial seizures(CPS) patients with temporal lobe foci comprised 83.7 % and (16.2%) had frontal lobe problems, while (49%) of Simple partial seizures (SPS) patients had frontal lobe foci, 22% frontoparietal and 13% had parietal lobe foci and had brain lesions were spotted in 75.4% of patients with SPS and (35.1%) with complex partial seizures. Conclusion: Infarction is a common reason for partial seizures in patients above 40 years while below this age the tumor is common etiology. A partial seizure is connected mostly with brain lesions. Keywords: Partial seizures, comorbid factors, brain lesions

1991 ◽  
Vol 49 (3) ◽  
pp. 251-254 ◽  
Author(s):  
Walter Oleschko Arruda

The objective of this study was to establish the etiology of epilepsy in 210 chronic epileptics (110 female, 100 male), aged 14-82 years (34.2±13.3). Patients less than 10 years-old and alcoholism were excluded. All underwent neurological examination, routine blood tests, EEG and CT-scan. Twenty patients (10.5%) were submitted to spinal tap for CSF examination. Neurological examination was abnormal in 26 (12.4%), the EEG in 68 (45.5%), and CT-scan in 93 (44.3%). According to the International Classification of Epileptic Seizures (1981), 101 (48.1%) have generalized seizures, 66 (31.4%) partial seizures secondarily generalized, 25 (11.8%) simple partial and complex partial seizures, and 14 (6.6%) generalized and partial seizures. Four patients (2.0%) could not be classified. In 125 (59.5%) patients the etiology was unknown. Neurocysticercosis accounted for 57 (27.1%) of cases, followed by cerebrovascular disease 8 (3.8%), perinatal damage 5 (2.4%), familial epilepsy 4 (1.9%), head injury 4 (1.9%), infective 1 (0.5%), and miscelanea 6 (2.8%).


2011 ◽  
Vol 24 (1) ◽  
pp. 35-41 ◽  
Author(s):  
Andrew P. Bagshaw ◽  
Andrea E. Cavanna

Consciousness is a central concept in epileptology, relevant to the understanding of both focal and generalized seizures. Within focal seizures, impairment of consciousness has long been considered as the main criterion differentiating complex partial seizures (CPS) from simple partial seizures With the development of improved tools for investigating human brain function, new insights into the brain mechanisms of altered consciousness in CPS have become available. This paper reviews the existing literature on how the currently available methods can be used to address the fundamental issue of how CPS alter consciousness.


Author(s):  
Dirk Bäumer

Seizures are transient neurological events caused by abnormal excessive or synchronous neuronal activity in the brain. This can arise from a localized brain region, causing focal seizures, or simultaneously from both hemispheres, leading to generalized seizures. Epilepsy is the tendency to develop recurrent seizures and is usually diagnosed after two or more unprovoked seizures. This chapter covers simple partial seizures (sometimes called aura), complex partial seizures, and focal (or partial) seizures, their differential diagnosis, context, approach to diagnosis, key diagnostic tests, therapy, and prognosis, as well as dealing with uncertainty in a diagnosis.


2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Sadia Sultan ◽  
Ebtihaj Omar Fallata

Introduction. Complex partial seizures are focal (CPS) (i.e., start in one area of the brain) and associated with impairment in consciousness. Most of them arise in the temporal region and are characterized by aura, impaired consciousness, and automatisms. CPS that arise in temporal region are most often misdiagnosed as primary psychiatric illness. Case Report. A 25-year-old male presented with fluctuations in consciousness, aggressive behaviour, hallucination, and delusions of grandeur lasting a few hours. He was diagnosed with acute and transient psychotic disorder according to ICD10 criteria and was treated with intramuscular haloperidol 10mg BID followed by oral olanzapine 10mg. Computed tomography of brain and electroencephalogram were normal. After 15 days he presented again to the outpatient department with complaints of aggressive behaviour and sensory misinterpretations. Video electroencephalogram was recommended, which was not done due to financial constraints. The diagnosis was reconsidered and he was started on oral carbamazepine due to high clinical suspicion, of complex partial seizures, in spite of lack of EEG evidence. He responded well to antiepileptic and symptom remission has maintained well. Conclusion. Patients presenting with psychosis need careful diagnostic evaluation for other possibilities.


1990 ◽  
Vol 157 (3) ◽  
pp. 441-444 ◽  
Author(s):  
Bankole A. Johnson ◽  
Lachlan B. Campbell

A patient with an abnormality in the right temporal lobe presented with episodes of mania many years before the clinical manifestation of both a simple partial seizure and complex partial seizures.


Seizure ◽  
1997 ◽  
Vol 6 (1) ◽  
pp. 57-61 ◽  
Author(s):  
U. Kramer ◽  
J.J. Riviello ◽  
L. Carmant ◽  
P. McL. Black ◽  
J. Madsen ◽  
...  

2018 ◽  
Vol 3 (9) ◽  

Computational Modeling and Visual Algorithm allows for the creation of a Visual cognitive diagram that explains areas of the brain they represent to spatial abstraction and mental calculation. For example, the temporal lobe is associated with memory and the occipital lobe is associated with vision. The cerebral cortex is where decision- making, thinking, and information process takes place. Moreover, in the frontal lobe is where decision making, takes place and the parietal lobe influences areas of the brain that correlate to spatial calculation and mind mapping. This is created in a diagram that expresses each area like a visual algorithm. A visual algorithm is created in different scales that are associated with numerical numbers and the frontal lobe sub division [1]. The creation of this visual algorithm explains the nodes and the functioning of the levels of the brain and neuroscience. The connection and the functions of the brain control our learning, motor content, and mayor nerve connections. The visual algorithm present an abstract and perception pattern to look at thinks. It connects with the nodes that affect our cognitive human perception factor. The lobes of the brain resemble this area and provide an in-depth understanding to what a cognitive hierarchy is. The lobes are important factor to the perception of thinking, learning, and memory. Each one with a significant function to learning and neuroscience [2]


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