scholarly journals Post-ictal atrial fibrillation detected during video-EEG monitoring: Case report, proposed physiopathologic mechanism and therapeutic considerations

2017 ◽  
Vol 8 ◽  
pp. 40-43 ◽  
Author(s):  
Alvaro Sanchez-Larsen ◽  
Gemma Aznar-Lain ◽  
Begoña Benito ◽  
Alessandro Principe ◽  
Miguel Ley ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Case Report ◽  
Eeg Monitoring ◽  
Therapeutic Considerations ◽  
Video Eeg

Repetitive focal seizures evolving into ictal asystole: a case report with 18 seizures during video-EEG monitoring

2021 ◽  
Vol 23 (6) ◽  
pp. 937-939
Author(s):  
Anna Stefánsdóttir ◽  
Anne Sabers ◽  
Annette Sidaros ◽  
György Rásonyi ◽  
Noémi Becser Andersen ◽  
...  
Keyword(s):  
Case Report ◽  
Eeg Monitoring ◽  
Focal Seizures ◽  
Video Eeg

An unusual complication of invasive video-EEG monitoring: subelectrode hematoma without subdural component: case report

2010 ◽  
Vol 26 (8) ◽  
pp. 1109-1112 ◽  
Author(s):  
Gokhan Bozkurt ◽  
Selim Ayhan ◽  
Nese Dericioglu ◽  
Serap Saygi ◽  
Nejat Akalan
Keyword(s):  
Case Report ◽  
Unusual Complication ◽  
Eeg Monitoring ◽  
Component Case ◽  
Video Eeg

Postictal atrial fibrillation: A potential biomarker for severe autonomic dysfunction and SUDEP?

2020 ◽  
pp. 10.1212/CPJ.0000000000000979
Author(s):  
Russell Nightscales ◽  
Paul B. Sparks ◽  
Terence J. O’Brien ◽  
Piero Perucca ◽  
Shobi Sivathamboo
Keyword(s):  
Atrial Fibrillation ◽  
Autonomic Dysfunction ◽  
Sudden Unexpected Death ◽  
Drug Resistant ◽  
Eeg Monitoring ◽  
Unexpected Death ◽  
Potential Biomarker ◽  
Drug Resistant Epilepsy ◽  
Video Eeg

Postictal atrial fibrillation (PIAF) has rarely been captured during video-EEG monitoring (VEM), with the longest duration being <5 minutes.1, 2 Some cases have later died of sudden unexpected death in epilepsy (SUDEP),1 suggesting that PIAF may be implicated in the pathophysiology of SUDEP. Here, we report a case with drug-resistant epilepsy who experienced remarkably prolonged PIAF (>12 hours) during VEM, and subsequently died of probable SUDEP.

scholarly journals Paroxysmal tonic upgaze accompanied by occipital discharge on electroencephalography: a case report and literature review

2021 ◽  
Vol 49 (2) ◽  
pp. 030006052098492
Author(s):  
Yan-Feng Zhang ◽  
Yi-Zhu Wang ◽  
Xiao-Sheng Hao ◽  
Hong-Bo Zhang ◽  
Jiang-Tao Wang ◽  
...  
Keyword(s):  
Case Report ◽  
Eye Movements ◽  
Literature Review ◽  
Neurological Disorder ◽  
Occipital Region ◽  
Eeg Monitoring ◽  
Case Presentation ◽  
The Right ◽  
Video Eeg ◽  
Upward Deviation

Background Paroxysmal tonic upgaze (PTU) is an infantile-onset paroxysmal neurological disorder that is characterized by episodes of sustained conjugate upward eye deviation. The paroxysmal abnormal eye movements need to be differentiated from seizures. We report a case of PTU with occipital discharge on electroencephalography (EEG), which made the diagnosis more complicated. Case presentation A 6-month-old girl presented with paroxysmal upward deviation or left strabismus of the eyes, with a bowed head, lowered jaw, raised eyebrows, closed lips, and slight grin. Each episode lasted for a few seconds, and episodes occurred multiple times per day. EEG showed spike waves in the right occipital region, and the girl was initially misdiagnosed with epilepsy. After further analysis using video EEG, we corrected her diagnosis as PTU and stopped the administration of an antiepileptic drug. Conclusion PTU accompanied by discharge on EEG may lead to a misdiagnosis. Video EEG monitoring, and especially the analysis of EEG traces synchronized with attacks, can provide evidence to distinguish between seizures and non-epileptic events.

scholarly journals 1270 Wobbly Knees: Cataplexy Or Seizure? A Case Report

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A483-A483
Author(s):  
A Nadhim ◽  
J Wong ◽  
D Gupta
Keyword(s):  
Case Report ◽  
Diagnosis And Treatment ◽  
Frontal Lobe Epilepsy ◽  
Loss Of Consciousness ◽  
Eeg Monitoring ◽  
Clinical Tool ◽  
Delay In Diagnosis ◽  
Clinical Tools ◽  
Video Eeg

Abstract Introduction Cataplexy (associated with narcolepsy) is difficult to differentiate from conditions such as seizure, syncope or TIA, but using validated clinical tools can help. We report a case that was mistakenly diagnosed as cataplexy, delaying diagnosis and treatment of his underlying seizures. Report of Case A 42 years old male presented with “freezing spells” described as spontaneous episodes of weakness in his knees. He may stagger and drop objects but had never fallen. He denies loss of consciousness. Post-ictally, he takes a moment to readjust his body and returns to baseline. There was no warning or aura before the episodes. These spells initially occurred 1-2 times/year in 2002, then progressed to 1/month by 2006 and then increased to 15 times/day in Jan 2019, lasting 5-10 seconds at a time. He became hesitant to drive. He was evaluated by a pulmonologist/sleep specialist. PSG showed Mild OSA but MSLT wasn’t suggestive of Narcolepsy. He was prescribed CPAP but stopped after 6 months since it didn’t improve his symptoms. He was prescribed Venlafaxine to treat presumptive Cataplexy, without any benefit. Eventually, he was referred to neurology/sleep clinic. Cataplexy questionnaire was administered and was negative: specifically, there were no emotional triggers of his episodes, such as hearing a joke, laughing or crying. Due to the stereotyped nature of his spells, he was referred to epilepsy specialist. He underwent 72 hours video EEG monitoring which showed that his clinical episodes were associated with EEG abnormality, suggestive of frontal lobe epilepsy. He was placed on Keppra and Oxcarbazepine. On follow up visit, he reported improvement in seizure frequency from 10-20/day to 1-2/day. Conclusion A validated1 clinical Tool such as Stanford Cataplexy questionnaire helps in differentiation of Cataplexy from other forms of transient muscle weakness. It can prevent 15 years delay in diagnosis and treatment of patients, or use of unnecessary medication.

THE DIAGNOSTIC UTILITY OF INPATIENT VIDEO-EEG MONITORING IN PEDIATRICS

2006 ◽  
Vol 37 (S 1) ◽  
Author(s):  
A Abdelmoity ◽  
W Graf ◽  
H Tsoi ◽  
M Wise
Keyword(s):  
Diagnostic Utility ◽  
Eeg Monitoring ◽  
Video Eeg

Robotic-Assisted Left Atrial Ligation for Stroke Reduction in Chronic Atrial Fibrillation: A Case Report

2006 ◽  
Vol 9 (1) ◽  
pp. E533-E535 ◽  
Author(s):  
Bob Kiaii ◽  
R. Scott McClure ◽  
Alan C. Skanes ◽  
Ian G. Ross ◽  
Alison R. Spouge ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Case Report ◽  
Left Atrial ◽  
Chronic Atrial Fibrillation ◽  
Robotic Assisted
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