scholarly journals An Undiagnosed Case of Hypothalamic Hamartoma with a Rare Presentation

2017 ◽  
Vol 2017 ◽  
pp. 1-5
Author(s):  
Shervin Badihian ◽  
Saeideh Bahrani ◽  
Nasim Tabrizi ◽  
Houshang Moein ◽  
Mohammad Zare ◽  
...  
Keyword(s):  
Rare Condition ◽  
Signs And Symptoms ◽  
Hypothalamic Hamartoma ◽  
Eeg Monitoring ◽  
Partial Seizures ◽  
Complex Partial Seizures ◽  
Rare Presentation ◽  
Case Presentation ◽  
Tonic Spasm ◽  
Video Eeg

Background. Hypothalamic hamartomas (HHs) are rare tumor-like malformations that may present with complex partial seizures refractory to anticonvulsants in adulthood. The condition may be misdiagnosed because of rarity. Case Presentation. We report a 25-year-old man with complaint of seizures presented by falling, tonic spasm of limbs, oral automatism, vocalization, and hypermotor activities. His seizures started at the age of one month and presented as eye deviation and upper limbs myoclonic jerk, followed by frequent seizures with variable frequency. The patient had delayed developmental milestones and was mentally retarded. He was hospitalized and underwent video-EEG monitoring and neuroimaging, and the diagnosis of HH was made. The patient became candidate for surgery after that. Conclusion. In this case, the underlying etiology of seizures was diagnosed after 25 years. HH is a rare condition and neurologists may encounter very small number of these cases during their practice. Therefore, they should consider it in patients who present with suspected signs and symptoms.

scholarly journals Complete remission of epileptic psychosis after temporal lobectomy: case report

2001 ◽  
Vol 59 (3B) ◽  
pp. 802-805 ◽  
Author(s):  
Renato Luiz Marchetti ◽  
Alexandre Garcia Tavares ◽  
Gary Gronich ◽  
Lia Arno Fiore ◽  
Renata Barbosa Ferraz
Keyword(s):  
Refractory Epilepsy ◽  
Temporal Lobectomy ◽  
Mesial Temporal Sclerosis ◽  
Partial Seizures ◽  
Wada Test ◽  
Comprehensive Investigation ◽  
Complex Partial Seizures ◽  
Therapeutic Measure ◽  
Intensive Monitoring ◽  
Video Eeg

We report a case of a female patient with refractory complex partial seizures since 15 years of age, recurrent postictal psychotic episodes since 35 which evolved to a chronic refractory interictal psychosis and MRI with right mesial temporal sclerosis (MTS). After a comprehensive investigation (video-EEG intensive monitoring, interictal and ictal SPECT, and a neuropsychological evaluation including WADA test) she was submitted to a right temporal lobectomy. Since then, she has been seizure-free with remission of psychosis, although with some persistence of personality traits (hiperreligiosity, viscosity) which had been present before surgery. This case supports the idea that temporal lobectomy can be a safe and effective therapeutic measure for patients with MTS, refractory epilepsy and recurrent postictal epileptic psychosis or interictal epileptic psychosis with postictal exacerbation.

scholarly journals Importance of Video-EEG Monitoring in the Diagnosis of Refractory Panic Attacks

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Batool F. Kirmani ◽  
Diana Mungall
Keyword(s):  
Temporal Lobe ◽  
Interesting Case ◽  
Panic Attacks ◽  
Eeg Monitoring ◽  
Partial Seizures ◽  
Delay In Diagnosis ◽  
Panic Disorders ◽  
Intense Fear ◽  
Temporal Lobe Seizures ◽  
Video Eeg

Partial seizures can be misdiagnosed as panic attacks. There is considerable overlap of symptoms between temporal lobe seizures and panic attacks making the diagnosis extremely challenging. Temporal lobe seizures can present with intense fear and autonomic symptoms which are also seen in panic disorders. This results in delay in diagnosis and management. We report an interesting case of a young woman who was diagnosed with right temporal lobe seizures with symptoms suggestive of a panic attack.

scholarly journals Lateralisation value of lower limb behaviors in complex partial seizures of temporal lobe origin: a video-EEG analysis

Seizure ◽  
2004 ◽  
Vol 13 (1) ◽  
pp. 35-39 ◽  
Author(s):  
CHIANG-WEI CHOU ◽  
HSIANG-YU YU ◽  
YANG-HSIN SHIH ◽  
CHUN-HING YIU ◽  
SHANG-YEONG KWAN ◽  
...  
Keyword(s):  
Temporal Lobe ◽  
Lower Limb ◽  
Eeg Analysis ◽  
Partial Seizures ◽  
Complex Partial Seizures ◽  
Video Eeg

SPEECH AUTOMATISMS IN A SECOND LANGUAGE IN COMPLEX PARTIAL SEIZURES: A VIDEO-EEG STUDY

Neurology ◽  
2007 ◽  
Vol 68 (20) ◽  
pp. 1739-1740 ◽  
Author(s):  
V. Chauvire ◽  
C. Adam ◽  
P. Hazemann ◽  
M. Baulac ◽  
V. Navarro
Keyword(s):  
Second Language ◽  
Partial Seizures ◽  
Complex Partial Seizures ◽  
Video Eeg

scholarly journals Falciparum malaria associated acute kidney injury with polyneuropathy and intra-arterial thrombosis (stroke)

2022 ◽  
Vol 27 (1) ◽  
Author(s):  
Nausheen Butt ◽  
Ejaz Ahmed
Keyword(s):  
Acute Kidney Injury ◽  
Falciparum Malaria ◽  
Arterial Thrombosis ◽  
Kidney Injury ◽  
Sensory Neuropathy ◽  
Signs And Symptoms ◽  
Neurological Manifestations ◽  
Rare Presentation ◽  
Case Presentation ◽  
Body Ache

Abstract Background Malaria is still major problem in developing countries, such as Pakistan. Besides fever, body ache and vomiting it can present with acute kidney injury, proteinuria, hematuria and cerebral manifestations which are more common with falciparum malaria. Neurological manifestations are rare presentation of malaria and should be consider in patients who are admitting with features of neuropathy and stroke. Case presentation We describe an unusual case of falciparum malaria, complicated by acute kidney injury who developed Polyneuropathy and intra-arterial thrombosis in middle cerebral artery territory. Our patient recovered his renal functions during admission and recovered his power and sensation in his limbs as well after 1 month. Conclusion Malaria cause neurological manifestations including axonal and sensory neuropathy, cerebral venous and arterial thrombosis, PMNS, cerebellar signs and symptoms, psychosis, etc. With prompt diagnosis and early treatment they can be cure and regain their motor and sensory functions to normal level.

The lateralizing value of upper extremity movements in complex partial seizures of temporal lobe origin: A video-EEG study

1998 ◽  
Vol 11 (6) ◽  
pp. 314-318 ◽  
Author(s):  
Der-Jen Yen ◽  
Hsiang-Yu Yu ◽  
Chun-Hing Yiu ◽  
Yang-Hsin Shih ◽  
Shang-Yeong Kwan ◽  
...  
Keyword(s):  
Upper Extremity ◽  
Temporal Lobe ◽  
Partial Seizures ◽  
Complex Partial Seizures ◽  
Video Eeg

scholarly journals Delusions of Disseminated Fungosis

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Ian Gassiep ◽  
Paul Matthew Griffin
Keyword(s):  
Treatment Compliance ◽  
Rare Condition ◽  
Physical Disorder ◽  
Rare Presentation ◽  
Case Presentation ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Improve Treatment ◽  
Primary Disorder ◽  
History Of

Introduction. Delusional infestation is a rare monosymptomatic hypochondriacal psychosis according to The Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5; American Psychiatric Association, 2013). It can be a primary disorder or associated with an underlying psychological or physical disorder. It commonly presents as delusional parasitosis, and less than 1% may be fungi related. We present this case as it is a rare presentation of a rare condition.Case Presentation. Our patient is a 60-year-old Caucasian man who presented with a 7-year history of delusional infestation manifested as a disseminated fungal infection. He had previously been reviewed by multiple physicians for the same with no systemic illness diagnosed. After multiple reviews and thorough investigation we diagnosed him with a likely delusional disorder. As is common with this patient cohort he refused psychiatric review or antipsychotic medication.Conclusion. A delusion of a disseminated fungal infestation is a rare condition. It is exceedingly difficult to treat as these patients often refuse to believe the investigation results and diagnosis. Furthermore, they either refuse or are noncompliant with treatment. Multidisciplinary outpatient evaluation may be the best way to allay patient fears and improve treatment compliance.

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.

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