scholarly journals Temporal Onset Focal Seizures Induced by Intermittent Photic Stimulation

2021 ◽  
Vol 12 ◽  
Author(s):  
Yue Niu ◽  
Pan Gong ◽  
Xianru Jiao ◽  
Haipo Yang ◽  
Zhixian Yang

The study aimed to review the clinical, radiological, and pathological findings and electroencephalogram (EEG) of pediatric epilepsy patients with temporal onset focal seizures induced by intermittent photic stimulation (IPS). Four patients with temporal onset photosensitivity focal seizures were analyzed. Three (75%) of the four patients were female. The average age of seizure-onset was 4.4 years. The interictal EEG showed both generalized and focal spike and waves in one patient and focal or multifocal spike and waves alone in three patients. Photoparoxysmal response (PPR) was evoked in all patients and showed generalized discharges (patients 2–4), both generalized and posterior discharges (patient 1). Both generalized and focal discharges could coexist in interictal discharges and PPR. The sensitive frequencies of PPR and photoconvulsive response (PCR) were 12–30 and 10–16 Hz, respectively, which were close to the occipital rhythm. In all patients, the onset of PCR was recorded, namely, the left anterior and mesial temporal lobe (TL), the left posterior TL, and the whole left TL, which showed two forms: the seizure of two patients was the onset of slow waves in the temporal area without spreading generalized discharges (patients 1 and 4), and the other one was fast rhythmic activities in the temporal area, spreading to the occipital area or gradually evolving into the generalized discharges (patients 2 and 3). During follow-up, except for patient 3 who had occasional seizures, the seizures of the remaining patients were under control. Temporal onset focal seizures could be induced by IPS. Temporal onset photosensitivity seizures were mostly easy to control with antiseizure drugs.

1974 ◽  
Vol 52 (5) ◽  
pp. 991-994 ◽  
Author(s):  
D. D. Johnson ◽  
E. C. Crichlow ◽  
R. D. Crawford

The ability of phenobarbital, diphenylhydantoin, trimethadione, and diazepam to modify epileptiform electroencephalogram (EEG) activity and prevent motor seizures in chickens genetically predisposed to convulsions was observed. These drugs prevented motor seizures and suppressed changes in the EEG normally induced by intermittent photic stimulation without producing an observable effect on the interictal EEG.


2020 ◽  
pp. 21-24
Author(s):  
Sevgi ÇIRAKLI ◽  
Ayşe Kaçar BAYRAM ◽  
Aslıhan DEMİR ◽  
Mehmet CANPOLAT ◽  
Sefer KUMANDAS ◽  
...  

Background: Hot water epilepsy is a type of reflex epilepsy which generally occurs with pouring water on the body during bath. Objective: The aim of this study is to evaluate the clinical and electrophysiological features, treatment, and outcome of the pediatric patients with diagnosis of hot water epilepsy. Methods: Patients were followed and treated at Erciyes University, between January 2010 and January 2016. Results: There were 15 patients total, included 9 (60%) boys and 6 (40%) girls. The average age at diagnosis was 30 months (range: 13-60 months). The follow-up period was 16 months (range: 12-48 months). Seven patients (46.6%) had focal seizures with impaired consciousness, four (26.7%) had focal seizure and four (26.7%) had focal starting and generalized tonic-clonic continuing seizures. Seven patients (46.6%) had abnormal interictal EEG findings, ranged from unilateral slowing of the background activity to bilateral sharp wave. Intermittent clobazam treatment (0.8-1.2 mg/kg) was given to 13 patients (86.7%). Other epileptic treatments were used in 5 (33.3%) patients. Three patients (20.0%) developed nonreflex seizures during followup period. Conclusions: Intermittent clobazam prophylaxis prior to hot water bath, as well as changing bathing habits can be effective in pediatric patients with hot water epilepsy.


2021 ◽  
pp. 263183182110233
Author(s):  
Sherina Moktan ◽  
Utkarsh Karki ◽  
Isha Bista ◽  
Narmada Devkota

Masturbatory behaviors occur as a part of psychosexual development in young children, but if such behaviors exceed resulting in discomfort and disability, it is known as gratification disorder. Children with such genital self-stimulatory behaviors are infrequently seen and diagnosed in Asian outpatient settings, possibly due to prevalent stigma. We report the cases of 3 children of 3, 4, and 8 - year-old with the diagnosis of gratification disorder based on comprehensive history-taking, general physical examination, and neurological examination along with videotape recording of the event. Investigations such as electroencephalogram (EEG), urinary microscopic examination, and culture were also conducted in each case. Clinical history, examination, and investigations such as EEG and urinary examination were reviewed. Behavior therapy and psychoeducation were successful in alleviating the disorder and allaying parental fears of taboo in all these cases. There was significant improvement in self-genital stimulatory behavior in all 3 cases at 3 months follow-up.


2009 ◽  
Vol 24 (5) ◽  
pp. 275-281 ◽  
Author(s):  
Teresa Rodriguez-Cano ◽  
Luis Beato-Fernandez ◽  
Inmaculada Garcia-Vilches ◽  
Ana Garcia-Vicente ◽  
Victor Poblete-Garcia ◽  
...  

AbstractObjectiveThe aim of the present study is to see if the changes in the regional cerebral blood flow (rCBF) experienced by restrictive anorexia nervosa (AR) and bulimia nervosa (BN) patients, following the exposure to their own body image, persist at follow-up.MethodsThree single photon emission computed tomography (SPECT) were performed on nine patients with a DSM-IV diagnosis of AR, 13 with BP, and 12 controls: at rest, following a neutral stimulus, and after exposure to their previously filmed whole body image. Body dissatisfaction was measured by means of the Body Dissatisfaction Questionnaire (BSQ). One year later the same assessment was repeated.ResultsFollowing the exposure to their own body image, BN showed an increase in body dissatisfaction, which was associated with the increase in the rCBF of the Right Temporal Area. Those changes persisted at follow-up.DiscussionMore specific long term therapies are needed for the treatment of the averse response showed by ED patients to their own body image exposure that is associated with the hyperactivation of the right temporal area when they are confronted with their whole body image.


F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 584
Author(s):  
Decsa Medika Hertanto ◽  
Henry Sutanto ◽  
Soebagijo Adi

Hypercoagulation is a hallmark of both the novel coronavirus disease (COVID-19) and type 2 diabetes mellitus (T2DM). It increases the risk for vascular thrombosis, including peripheral artery diseases. Among others, acute limb ischemia (ALI) is one of most common complications that requires immediate and prompt treatments to reduce morbidity and mortality. However, the complex interplay between COVID-19, T2DM and its complications (e.g., diabetic nephropathy), and ALI creates a great challenge in the management of the disease. Here, we present a case of a 59-year-old diabetic female with progressive pain in her left leg in the last five years, which was significantly intensified following COVID-19 diagnosis. Bluish coloration, numbness and functional impairments were observed during examinations with no palpable pulsation on left posterior tibial and dorsalis pedis arteries. The patient also had diabetic nephropathy (stage III), hypoalbuminemia, anemia and a urinary tract infection that complicated the management of the disease. Due to the excruciating pain and the worsening of the limb conditions, right leg revascularization and left leg amputation were performed at day 14 after admission. Following the surgeries, no more pain was observed and patient was discharged for further follow-up at the outpatient clinic.


2021 ◽  
pp. 106844
Author(s):  
Željka Rogač ◽  
Dejan Stevanović ◽  
Sara Bečanović ◽  
Ljubica Božić ◽  
Aleksandar Dimitrijević ◽  
...  

PEDIATRICS ◽  
1979 ◽  
Vol 63 (5) ◽  
pp. 761-763
Author(s):  
William G. Tasker ◽  
Stanley A. Plotkin

A case of cerebral cysticercosis in an American child is described. The patient was only 2 years old and had never left the United States. Her symptoms began with febrile seizures and progressed to focal motor seizures. Cerebrospinal fuid pleocytosis with eosinophilia, candle-guttering of the walls of the ventricles on pneumoencephalography, and a titer of 1:4,096 against cysticercosis antigen in her blood led to the diagnosis. Over a five-year follow-up period, the patient's course has been one of resolution of her symptoms, improvement in her electroencephalogram, and excellent seizure control with anticonvulsant therapy. cysticercosis should be considered in the differential diagnosis of a child who shows CSF pleocytosis with eosinophilia, particularly if accompanied by focal seizures.


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