By Dieter Schmidt, Steven C. Schachter
From pediatric to the aged, from contractible to refractive, epilepsy is an sickness that manifests in lots of varieties and throughout a number of demographics. during this attention-grabbing quantity, the writer information a couple of hundred situations the place healthiness care practitioners confronted strange demanding situations in treating the disorder. All features of epilepsy are explored via those situations, from the occasionally complicated preliminary analysis to sufferer responses and therapy equipment. during this best-selling brief textual content, the writer additionally provides the teachings discovered from those outstanding instances. one hundred ten difficult instances in Epilepsy turns out to be useful for scientific scholars, citizens and all healthiness care practitioners, because the practices used to appreciate those situations might be utilized to different diagnoses besides.
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Extra info for 110 Puzzling Cases of Epilepsy
We conclude that our patients no longer continue to fulﬁll the criteria for 16 REFERENCES West syndrome because of the evolution of the EEG; however, their problem is persistent spasms and it is a real problem. Spasms are not strictly age-related. The most effective treatment for infantile spasms is ACTH. The ﬁrst patient had an excellent response to the ﬁrst course of ACTH but at the age of 2 years she had only a transient reduction in spasms. We have seen several other patients with spasms persisting into adulthood who also did not respond to repeated courses of ACTH.
31 PANIC ATTACKS IN A WOMAN WITH FRONTAL LOBE EPILEPSY Because the patient has now been seizure-free for 24 months, we have started to taper her carbamazepine and lamotrigine. Commentary This case demonstrates the importance of seizure semiology. During the presurgical evaluation of our patient, the results from non-invasive electrophysiological and functional imaging studies all pointed to the seizures originating within the right temporal lobe. In addition, our patient experienced auras with fear and déjà-vu and exhibited non-verbal memory deﬁcits.
Depression in patients with epilepsy: an overview and clinical study. In: Trimble MR, ed. The psychopharmacology of epilepsy. Chichester, UK: John Wiley; 1985. 25 EPILEPSIA PARTIALIS CONTINUA VERSUS NON-EPILEPTIC SEIZURES 26. Mendez MF, Cummings JL, Benson DF. Depression in epilepsy. Arch Neurol 1986;43:766–70. 27. Francis S, Weisbrot DM, Jandorf L, Krupp LB, Ettinger AB. Anxiety in epilepsy (abstract). Epilepsia 1996;37(suppl 5):3. 28. Altshuler LL, Devinsky O, Post RM, Theodore W. Depression, anxiety, and temporal lobe epilepsy.
110 Puzzling Cases of Epilepsy by Dieter Schmidt, Steven C. Schachter