scholarly journals A late-onset seizure in a child due to intracranial needle

2014 ◽  
Vol 6 (4) ◽  
Author(s):  
Pinar Gencpinar ◽  
Ebru Cetiner ◽  
Mahmut Akyuz ◽  
Kamil Karaali ◽  
Resit Koken ◽  
...  
Keyword(s):  
Frontal Lobe ◽  
Late Onset ◽  
Rare Entity ◽  
Anterior Fontanel ◽  
Onset Seizure ◽  
Pediatric Neurology ◽  
Sewing Needle ◽  
History Of ◽  
Clonic Seizures ◽  
The Brain

Placing of sewing needles in the brain through the anterior fontanel is a rare entity. There are very few cases reported in literature. Most of them were asymptomatic, but some of them presented with seizure. We report here a 14-year-old boy, who was admitted to the Pediatric Neurology Department with a history of generalized tonic-clonic seizures due to sewing needle located in the frontal lobe.

scholarly journals Frontal lobe epilepsy manifesting as vertigo: a case report and literature review

2020 ◽  
Vol 48 (9) ◽  
pp. 030006052094616
Author(s):  
Yongning Jiang ◽  
Xiangqin Zhou
Keyword(s):  
Frontal Lobe ◽  
Cortical Neurons ◽  
Relevant Literature ◽  
Frontal Lobe Epilepsy ◽  
Epileptiform Discharges ◽  
History Of ◽  
Clonic Seizures ◽  
Wave Complex ◽  
Oral Sodium

Frontal lobe epilepsy is a common neurological disorder with a broad spectrum of symptoms. Frontal lobe epilepsy presenting with vertigo is extremely rare, and the relevant pathogenesis remains unclear. Herein, we report a case of frontal lobe epilepsy manifesting as vertigo, and we review the relevant literature. A 34-year-old woman presented with a 10-year history of general tonic–clonic seizures. In the month prior to admission, she experienced nocturnal seizures on two occasions. Video electroencephalogram monitoring showed frequent clinical seizures during which the patient felt transient vertigo. The ictal electroencephalogram revealed a medium-amplitude spike and slow wave complex originating from the frontal lobes. The patient was treated with oral sodium valproate, levetiracetam, and lamotrigine. After a 6-month follow-up period, her seizures were well controlled. Our findings expand the symptom spectrum of epilepsy, suggesting that vertigo can be an uncommon clinical manifestation of frontal lobe epilepsy. Although the pathological correlation between vertigo and epilepsy remains elusive, our findings indicate that vestibular cortical neurons may participate in periodic epileptiform discharges of the frontal lobe. Clinicians should be aware of a potential diagnosis of epilepsy in patients presenting with vertigo as the onset symptom because this condition is usually underdiagnosed.

scholarly journals Mirror writing in a patient with frontal-lobe epilepsy

2021 ◽  
Author(s):  
Vityala Yethindra ◽  
Elmira Mamytova ◽  
Tugolbai Tagaev ◽  
Sagynali Mamatov
Keyword(s):  
Intensive Care Unit ◽  
Frontal Lobe ◽  
Refractory Status Epilepticus ◽  
Frontal Lobe Epilepsy ◽  
Impaired Consciousness ◽  
Refractory Status ◽  
History Of ◽  
Clonic Seizures ◽  
The Right ◽  
Mirror Writing

A 36-year-old male with non-lesional refractory frontal-lobe epilepsy, diagnosed at 16 years of age, and with a history of four hospitalizations for refractory status epilepticus and admitted to the intensive care unit with focal seizures in the right upper limb, impaired consciousness, and recurrent progression to bilateral tonic-clonic seizures.

Primary meningeal osteosarcoma of the brain during childhood

2008 ◽  
Vol 1 (4) ◽  
pp. 325-329 ◽  
Author(s):  
Adnan Dagcinar ◽  
Fatih Bayrakli ◽  
Ozlem Yapicier ◽  
Memet Ozek
Keyword(s):  
Pediatric Patients ◽  
Complete Resection ◽  
Rare Tumors ◽  
Initial Surgery ◽  
Histopathological Evaluation ◽  
Fast Progression ◽  
History Of ◽  
Clonic Seizures ◽  
The Brain ◽  
Tumor Enlargement

✓ Primary meningeal osteosarcomas are rare tumors, with only 19 reported cases in the literature; only 4 of these, including the present case, are in pediatric patients. In this report, the authors present the case of an 8-year-old boy with a history of generalized tonic–clonic seizures who was found to harbor a meningeal osteosarcoma within the sylvian fissure. Initial working diagnoses included meningioma and glioma. After tumor enlargement and progressive symptoms, the patient underwent a large frontotemporal craniotomy and complete resection of the lesion, which recurred 6 and 12 months after the initial surgery and was surgically treated after each recurrence. The rarity of primary meningeal osteosarcomas can make their diagnosis difficult, and histopathological evaluation is mandatory for diagnosis. Because of their fast progression, they must be treated aggressively by means of surgery, chemotherapy, and radiotherapy.

Supratentorial Arachnoid Cyst Located in the Brain Parenchyma: Case Report

Neurosurgery ◽  
2011 ◽  
Vol 68 (1) ◽  
pp. E258-E262 ◽  
Author(s):  
Kyung-Jae. Park ◽  
Shin-Hyuk. Kang ◽  
Yang-Seok. Chae ◽  
Yong-Gu. Chung
Keyword(s):  
Frontal Lobe ◽  
Arachnoid Cyst ◽  
Clinical Presentation ◽  
Brain Parenchyma ◽  
Cystic Mass ◽  
Clear Fluid ◽  
Computed Tomographic ◽  
History Of ◽  
The Right ◽  
The Brain

abstract BACKGROUND AND IMPORTANCE: Arachnoid cysts have not been reported to be located within the brain parenchyma. We present a case of an arachnoid cyst that was contained entirely within the right frontal lobe devoid of communication with the subarachnoid space and ventricle. CLINICAL PRESENTATION: A 65-year-old woman presented with a 1-year history of progressive headache and nausea. Computed tomographic and magnetic resonance imagining scans showed a well-defined, nonenhancing mass measuring 5 × 5 × 3.5 cm in the right frontal lobe. The mass appeared to be contained entirely within the brain parenchyma. The patient underwent a right frontal craniotomy, at which time the cystic mass was identified in the brain parenchyma without any communication with the arachnoid space. The cyst contained a clear fluid, and its wall was excised. The fluid contents demonstrated a composition similar to that of normal cerebrospinal fluid. Histological and immunohistochemical examinations of the cyst wall were compatible with the diagnosis of an arachnoid cyst. Postoperatively, the symptoms of the patient resolved, and no recurrence was observed up to 6 months after removal. CONCLUSION: The present case showed an intraparenchymal arachnoid cyst arising in the frontal lobe. Although the etiology is not known, an arachnoid cyst should be included in the differential diagnosis of primary intracerebral cysts.

scholarly journals A Case of Cephalic Tetanus in an Elderly Patient with Trismus

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Marilia Bernardes ◽  
Saberio Lo Presti ◽  
Kenneth Ratzan
Keyword(s):  
Immune Globulin ◽  
Early Recognition ◽  
Oral Candidiasis ◽  
Presumptive Diagnosis ◽  
Temporomandibular Joints ◽  
History Of ◽  
Ct Head ◽  
Clonic Seizures ◽  
Cephalic Tetanus ◽  
The Brain

We report a case of a 77-year-old woman who presented to the Emergency Room with a three-day history of oral lesions and jaw tightness. Her physical examination was remarkable for the presence of trismus and white ulcers on the visible portion of the tongue. CT head and neck was unremarkable, and she was discharged with empiric treatment for oral candidiasis. She returned two days later with worsening symptoms and subsequently developed tonic-clonic seizures. MRI of the brain and temporomandibular joints were noncontributory. Psychiatry was consulted, and the patient was prescribed olanzapine and mirtazapine for suspected depression with somatization symptoms. She continued to deteriorate despite therapy and developed right lid ptosis and ophthalmoparesis, which led to a presumptive diagnosis of cephalic tetanus. On the 14th day of illness, tetanus immune globulin, metronidazole, and tetanus toxoid vaccine were administered. Despite treatment, the patient died after 24 days of hospitalization. This case illustrates the importance of early recognition of tetanus since successful treatment depends on timely administration of immune globulin.

scholarly journals Schizencephaly Associated with Polymicrogirya – Cause for Late-Onset Epileptic Seizures in Adult. A Case Report.

2016 ◽  
Vol 22 (4) ◽  
pp. 228-231
Author(s):  
Mihaela Lungu ◽  
Aurelia Romila ◽  
L.T. Hangan ◽  
B.M. Caraban
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Late Onset ◽  
Epileptic Seizures ◽  
Psychological Trauma ◽  
Rapid Onset ◽  
Neurological Illness ◽  
History Of ◽  
Convulsive Seizures ◽  
The Brain

Abstract The article presents the case of a 61-year old female patient, with no history of neurological illness, who presents a rapid onset of two convulsive seizures, triggered by a psychological trauma. The first convulsive seizure is repeated within 24 hours. The general, as well as the neurological clinical examination have not found any pathological signs. MRI scanning of the brain pointed to right-parietal schizencephaly, associated with polymicrogyria, the believed causes of the epileptic seizures.

Unusual Presentations of Epilepsies

PEDIATRICS ◽  
1974 ◽  
Vol 53 (4) ◽  
pp. 548-551
Author(s):  
Gregory O. Walsh
Keyword(s):  
Frontal Lobe ◽  
Temporal Lobe ◽  
Insular Cortex ◽  
Contralateral Side ◽  
The Body ◽  
Onset Seizure ◽  
Motor Seizure ◽  
Partial Onset Seizure ◽  
Mesial Temporal Lobe ◽  
The Brain

Seizures are either focal (partial) or generalized in onset (Table I).1 The manifestation of the seizure is related to the area of the brain involved in the initial electrical seizure discharge. If the initial seizure discharge is related to the motor strip then one might see a Jacksonian type of seizure with first clonic movements of the thumb and fingers, then a march up the hand, arm, face and leg on the contralateral side of the body. If the initial seizure discharge is related to the temporal lobe then one might see impairment of consciousness and automatic movements (automatisms). The "aura" is actually the start of the electrical seizure discharge which is confined to one area of brain. The type of "aura" that a patient has is related to the area of brain involved in the seizure discharge. For example, the olfactory aura of an unusual smell may be related to a mesial temporal lobe or mesial frontal lobe discharge. The aura of an unusual taste is related to a discharge in the insular cortex. If the electrical seizure discharge spreads out to involve other areas of brain or the whole brain then the patient has a secondarily generalized major motor seizure. The important point is to recognize that the seizure was a partial onset seizure becoming secondarily generalized and therefore due to a focal etiology rather than a primary generalized seizure disorder, which affects a particular area of brain which is may be precipitated in response to some stimuli which effects a particular area of brain which is extraordinarily sensitive because of an epileptic lesion in that area. See table in the PDF file

Frontal Lobe Tumor Associated with Late-Onset Seizure and Psychosis: A Case Report

1993 ◽  
Vol 47 (3) ◽  
pp. 541-544
Author(s):  
Takeshi Sato ◽  
Masashi Takeichi ◽  
Masamitsu Abe ◽  
Kazuo Tabuchi ◽  
Tomihide Hara
Keyword(s):  
Case Report ◽  
Frontal Lobe ◽  
Late Onset ◽  
Onset Seizure

Congenital Intercostal Hernia: A Rare Entity

JMS SKIMS ◽  
2018 ◽  
Vol 21 (1) ◽  
pp. 48
Author(s):  
Syed Muzamil Andrabi ◽  
Mohd Yousuf Dar ◽  
Javid Ahmad Bhat
Keyword(s):  
Male Patient ◽  
General Surgery ◽  
Rare Entity ◽  
Intercostal Hernia ◽  
History Of ◽  
Lateral Chest ◽  
Patient Department

A 35-year-old male patient presented to the General Surgery Out Patient Department with a history of swelling on the left lateral chest since birth. The swelling appeared during inspiration and disappeared during expiration. JMS 2018;21(1):48 

An Obscure Colon Dilatation and its Underlying Cause: Case Report and Literature Review

2020 ◽  
pp. 1-5
Author(s):  
Anton Stift ◽  
Kerstin Wimmer ◽  
Felix Harpain ◽  
Katharina Wöran ◽  
Thomas Mang ◽  
...  
Keyword(s):  
Case Report ◽  
Sigmoid Colon ◽  
Immunohistochemical Staining ◽  
Late Onset ◽  
Hirschsprung Disease ◽  
Endoscopic Examination ◽  
Case Presentation ◽  
Idiopathic Megacolon ◽  
History Of ◽  
Cells Of Cajal

Introduction: Congenital as well as acquired diseases may be responsible for the development of a megacolon. In adult patients, Clostridium difficile associated infection as well as late-onset of Morbus Hirschsprung disease are known to cause a megacolon. In addition, malignant as well as benign colorectal strictures may lead to intestinal dilatation. In case of an idiopathic megacolon, the underlying cause remains unclear. Case Presentation: We describe the case of a 44-year-old male patient suffering from a long history of chronic constipation. He presented himself with an obscurely dilated large intestine with bowel loops up to 17 centimeters in diameter. Radiological as well as endoscopic examination gave evidence of a spastic process in the sigmoid colon. The patient was treated with a subtotal colectomy and the intraoperative findings revealed a stenotic stricture in the sigmoid colon. Since the histological examination did not find a conclusive reason for the functional stenosis, an immunohistochemical staining was advised. This showed a decrease in interstitial cells of Cajal (ICC) in the stenotic part of the sigmoid colon. Discussion: This case report describes a patient with an idiopathic megacolon, where the underlying cause remained unclear until an immunohistochemical staining of the stenotic colon showed a substantial decrease of ICCs. Various pathologies leading to a megacolon are reviewed and discussed.

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