scholarly journals Updated Review on the Diagnosis and Primary Management of Psychogenic Nonepileptic Seizure Disorders

2021 ◽  
Vol Volume 17 ◽  
pp. 1825-1838
Author(s):  
Alejandra Inés Lanzillotti ◽  
Mercedes Sarudiansky ◽  
Nicolás Robertino Lombardi ◽  
Guido Pablo Korman ◽  
Luciana D´Alessio
Keyword(s):  
Seizure Disorders ◽  
Psychogenic Nonepileptic Seizure ◽  
Primary Management

Epilepsy and the Dental Management of the Epileptic Patient

2008 ◽  
Vol 9 (1) ◽  
pp. 54-62 ◽  
Author(s):  
Peter L. Jacobsen ◽  
Oleksandra Eden
Keyword(s):  
Oral Cavity ◽  
Dental Care ◽  
Epileptic Patient ◽  
Healthcare Providers ◽  
Pharmaceutical Management ◽  
Seizure Disorders ◽  
Dental Management ◽  
Patients With Epilepsy ◽  
The Impact ◽  
Primary Management

Abstract Aim The aim of this article is to educate oral healthcare providers on the diagnosis and treatment of epilepsy and seizure disorders. It also shows the impact of epilepsy on the oral cavity and provides suggestions on the dental management of epileptic patients. Review Epilepsy and seizure disorders affect 1.5 million Americans. The disease is caused by a number of genetic, physiologic, and infectious disorders as well as trauma. Treatment is primarily pharmaceutical but can also be surgical. The disease itself and the pharmaceutical management often have an impact on the oral cavity. Primary management considerations are the provision of good periodontal care and the restoration of the teeth with stable, strong restorations. Conclusions With proper understanding of patients with epilepsy and seizure disorders and their medical treatment, the dental care team can safely and effectively render dental care that will benefit the patient and minimize the risk of oral health problems in the future. Citation Jacobsen PL, Eden O. Epilepsy and the Dental Management of the Epileptic Patient. J Contemp Dent Pract 2008 January; (9)1:054-062.

scholarly journals Clinical and angiographic characteristics of patients with STEMI and confirmed diagnosis of COVID-19: an experience of Tanta University Hospital

2020 ◽  
Vol 72 (1) ◽  
Author(s):  
Ahmed Alaarag ◽  
Timoor Hassan ◽  
Sameh Samir ◽  
Mohamed Naseem
Keyword(s):  
Poor Prognosis ◽  
Management Strategy ◽  
Clinical Presentation ◽  
Underlying Mechanism ◽  
Fibrinolytic Therapy ◽  
University Hospital ◽  
Total Occlusion ◽  
St Elevation ◽  
Primary Management ◽  
D Dimer

Abstract Background Patients with established cardiovascular diseases have a poor prognosis when affected by the coronavirus disease 2019 (COVID-19). Also, the cardiovascular system, especially the heart, is affected by COVID-19. So we aimed to evaluate the angiographic and clinical characteristics of COVID-19 patients presented by ST-elevation myocardial infarction (STEMI). Results Our retrospective study showed that STEMI patients with COVID-19 had elevated inflammatory markers with mean of their CRP (89.69 ± 30.42 mg/dl) and increased laboratory parameters of thrombosis with mean D-dimer (660.15 ± 360.11 ng/ml). In 69.2% of patients, STEMI was the first clinical presentation and symptoms suggestive of COVID-19 developed during the hospital stay; about one third of patients had a non-obstructive CAD, while patients with total occlusion had a high thrombus burden. Conclusion STEMI may be the initial presentation of COVID-19. A non-obstructive CAD was found in about one third of patients; on the other hand, in patients who had a total occlusion of their culprit artery, the thrombus burden was high. Identification of the underlying mechanism responsible for the high thrombus burden in these patients is important as it may result in changes in their primary management strategy, either primary PCI, fibrinolytic therapy, or a pharmaco-invasive strategy. Furthermore, adjunctive anticoagulation and antiplatelet therapy may need to be revised.

scholarly journals An investigation of the diet, exercise, sleep, BMI, and health outcomes of autistic adults

2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Elizabeth Weir ◽  
Carrie Allison ◽  
Ken K. Ong ◽  
Simon Baron-Cohen
Keyword(s):  
Body Mass Index ◽  
Family History ◽  
Health Outcomes ◽  
Body Mass ◽  
Autism Spectrum ◽  
Lifestyle Factors ◽  
Sleep Patterns ◽  
Seizure Disorders ◽  
Severe Intellectual Disability ◽  
Autistic Adults

Abstract Background Studies of autistic children suggest that restricted eating, reduced physical activity, and sleep disorders are common; however, no studies attempt to broadly describe the diet, exercise, and sleep patterns of autistic adults or consider relationships between lifestyle behaviors and the widely reported increased risks of obesity and chronic conditions. To address this, the authors developed the largest study of lifestyle patterns of autistic adults and assessed their relationships to body mass index, health outcomes, and family history. Methods We administered an anonymized, online survey to n = 2386 adults (n = 1183 autistic) aged 16–90 years of age. We employed Fisher’s exact tests and binomial logistic regression to describe diet, exercise, and sleep patterns; mediation of seizure disorders on sleep; body mass index (BMI); relationships of lifestyle factors to BMI, cardiovascular conditions, and diabetic conditions; and sex differences among autistic adults. Results Autistic adults, and particularly autistic females, exhibit unhealthy diet, exercise, and sleep patterns; they are also more likely to be underweight or obese. Limited sleep duration and high rates of sleep disturbances cannot be accounted for by epilepsy or seizure disorders. Lifestyle factors are positively related to higher risk of cardiovascular conditions among autistic males, even more than family history. Limitations Our sample may not be representative of all autistic and non-autistic people, as it primarily comprised individuals who are white, female, have a high school education or higher, and reside in the UK. Our sampling methods may also exclude some individuals on the autism spectrum, and particularly those with moderate to severe intellectual disability. This is a cross-sectional sample that can test for relationships between factors (e.g., lifestyle factors and health outcomes) but cannot assess the direction of these relationships. Conclusions Autistic adults are less likely to meet minimal health recommendations for diet, exercise, and sleep—and these unhealthy behaviors may relate to excess risk of cardiovascular conditions. Although the present study can only provide preliminary, correlational evidence, our findings suggest that diet, exercise, and sleep should be considered and further investigated as key targets for reducing the now widely reported and dramatically increased risks of health comorbidity and premature death among autistic individuals compared to others. Physicians should work cooperatively with patients to provide health education and develop individualized strategies for how to better manage challenges with diet, exercise, and sleep.

scholarly journals Simple, cost-effective technique for portable digital eletrocorticography

2000 ◽  
Vol 58 (2B) ◽  
pp. 424-427 ◽  
Author(s):  
PAULO R. M. DE BITTENCOURT ◽  
MARCOS C. SANDMANN ◽  
MARLUS S. MORO ◽  
JOÃO C. DE ARAÚJO
Keyword(s):  
Real Time ◽  
Epilepsy Surgery ◽  
Vascular Malformations ◽  
Cost Effective ◽  
New Method ◽  
Cortical Lesions ◽  
Effective Technique ◽  
Seizure Disorders ◽  
Operational Costs ◽  
Cost Effective Technique

We revised 16 patients submitted to epilepsy surgery using a new method of digital, real-time, portable electrocorticography. Patients were operated upon over a period of 28 months. There were no complications. The exam was useful in 13 cases. The low installation and operational costs, the reliability and simplicity of the method, indicate it may be useful for defining the epileptogenic regions in a variety of circumnstances, including surgery for tumors, vascular malformations, and other cortical lesions associated with seizure disorders.

scholarly journals Positron emission tomography in seizure disorders

2011 ◽  
Vol 1228 (1) ◽  
pp. E1-E12 ◽  
Author(s):  
Abass Alavi ◽  
Stephanie Yakir ◽  
Andrew B. Newberg
Keyword(s):  
Positron Emission Tomography ◽  
Emission Tomography ◽  
Seizure Disorders ◽  
Positron Emission

scholarly journals Optimization of Curvilinear Needle Trajectories for Transforamenal Hippocampotomy

2016 ◽  
Vol 13 (1) ◽  
pp. 15-22 ◽  
Author(s):  
David B. Comber ◽  
E. Bryn Pitt ◽  
Hunter B. Gilbert ◽  
Matthew W. Powelson ◽  
Emily Matijevich ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Medial Axis ◽  
Tumor Resection ◽  
Percutaneous Treatment ◽  
Thermal Therapy ◽  
Foramen Ovale ◽  
Worst Case ◽  
Seizure Disorders ◽  
Thermal Therapies ◽  
Concentric Tube Robot

Abstract BACKGROUND: The recently developed magnetic resonance imaging–guided laser-induced thermal therapy offers a minimally invasive alternative to craniotomies performed for tumor resection or for amygdalohippocampectomy to control seizure disorders. Current laser-induced thermal therapies rely on linear stereotactic trajectories that mandate twist-drill entry into the skull and potentially long approaches traversing healthy brain. The use of robotically driven, telescoping, curved needles has the potential to reduce procedure invasiveness by tailoring trajectories to the curved shape of the ablated structure and by enabling access through natural orifices. OBJECTIVE: To investigate the feasibility of using a concentric tube robot to access the hippocampus through the foramen ovale to deliver thermal therapy and thereby provide a percutaneous treatment for epilepsy without drilling the skull. METHODS: The skull and both hippocampi were segmented from dual computed tomography/magnetic resonance image volumes for 10 patients. For each of the 20 hippocampi, a concentric tube robot was designed and optimized to traverse a trajectory from the foramen ovale to and through the hippocampus from head to tail. RESULTS: Across all 20 cases, the mean distances (errors) between the hippocampus medial axis and backbone of the needle were 0.55, 1.11, and 1.66 mm for the best, mean, and worst case, respectively. CONCLUSION: These curvilinear trajectories would provide accurate transforamenal delivery of an ablation probe to typical hippocampus volumes. This strategy has the potential both to decrease the invasiveness of the procedure and to increase the completeness of hippocampal ablation.

Employment and occupational safety among patients with seizure disorders – findings from a tertiary hospital in Saudi Arabia

2021 ◽  
Vol 122 ◽  
pp. 108208
Author(s):  
Rana A. Saleh ◽  
Maha Aleid ◽  
Raneem Saleh ◽  
Abdulaziz Al Semari ◽  
Nujud Alrushud ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Occupational Safety ◽  
Tertiary Hospital ◽  
Seizure Disorders
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