scholarly journals Epileptic seizures due to multiple cerebral cavernomatosis

2007 ◽  
Vol 64 (7) ◽  
pp. 489-492
Author(s):  
Mirjana Spasic ◽  
Stevo Lukic
Keyword(s):  
Vascular Malformations ◽  
Neuropsychological Testing ◽  
Epileptic Seizures ◽  
Unprovoked Seizure ◽  
Cavernous Angiomas ◽  
Everyday Activities ◽  
Epileptiform Discharges ◽  
Baseline Activity ◽  
Neuroradiological Examination ◽  
Wide Awake

Background. Cavernous angiomas are angiographically occult vascular malformations that are present in 0.4?0.9 % of people, and represent around 5% of all cerebrovascular malformations. They can be single or multiple, and sporadic or familial. The presence of multiple lesions is more frequent in familial cavernomatosis. Ten to 30 % are associated with familial clustering. Case report. We presented the case of a 43-year-old man, admitted to the Emergency Department due to unprovoked seizure during the wide awake and everyday activities. Neurological examination was with no focal signs. A 32-channel standard digital EEG was without any significant changes of normal baseline activity. After sleep deprivation EEG showed multifocal, bilateral and asymmetric polyspikes and sharpwaves activity. Hyperventilation induced generalized epileptiform discharges. MRI scan demonstrated multiple small cavernous angiomas. Neuropsychological testing demonstrated a delayed memory impairment. Neurosurgery treatment was not recommended, and the therapy with valproate 1 250 mg/day had an excellent efficacy with no singnificant adverse effects. Conclusion. This patient considered as a rare case with multiple cavernomatosis highlights the importance of neuroradiological examination in adult patients with the first epileptic seizure but with no focal neurological signs. .

scholarly journals Dynamics of high-frequency synchronization during seizures

2013 ◽  
Vol 109 (10) ◽  
pp. 2423-2437 ◽  
Author(s):  
Giri P. Krishnan ◽  
Gregory Filatov ◽  
Maxim Bazhenov
Keyword(s):  
High Frequency ◽  
Epileptiform Activity ◽  
Epileptic Seizures ◽  
Temporal Analysis ◽  
Neuronal Firing ◽  
Extracellular Potassium ◽  
Epileptiform Discharges ◽  
Baseline Activity ◽  
High Frequency Activity

Pathological synchronization of neuronal firing is considered to be an inherent property of epileptic seizures. However, it remains unclear whether the synchrony increases for the high-frequency multiunit activity as well as for the local field potentials (LFPs). We present spatio-temporal analysis of synchronization during epileptiform activity using wide-band (up to 2,000 Hz) spectral analysis of multielectrode array recordings at up to 60 locations throughout the mouse hippocampus in vitro. Our study revealed a prominent structure of LFP profiles during epileptiform discharges, triggered by elevated extracellular potassium, with characteristic distribution of current sinks and sources with respect to anatomical structure. The cross-coherence of high-frequency activity (500–2,000 Hz) across channels was reduced during epileptic bursts compared with baseline activity and showed the opposite trend for lower frequencies. Furthermore, the magnitude of cross-coherence during epileptiform activity was dependent on distance: electrodes closer to the epileptic foci showed increased cross-coherence and electrodes further away showed reduced cross-coherence for high-frequency activity. These experimental observations were re-created and supported in a computational model. Our study suggests that different intrinsic and synaptic processes can mediate paroxysmal synchronization at low, medium, and high frequencies.

Telangiectases and cavernous angiomas of the brainstem: ?cryptic? vascular malformations

1974 ◽  
Vol 8 (2) ◽  
pp. 83-89 ◽  
Author(s):  
G. H. Roberson ◽  
C. S. Kase ◽  
E. R. Wolpow
Keyword(s):  
Vascular Malformations ◽  
Cavernous Angiomas

scholarly journals Absence Seizure Detection Algorithm for Portable EEG Devices

2021 ◽  
Vol 12 ◽  
Author(s):  
Pawel Glaba ◽  
Miroslaw Latka ◽  
Małgorzata J. Krause ◽  
Sławomir Kroczka ◽  
Marta Kuryło ◽  
...  
Keyword(s):  
Detection Rate ◽  
Low Cost ◽  
Clinical Manifestations ◽  
Epileptic Seizures ◽  
Seizure Detection ◽  
Detection Algorithm ◽  
Absence Epilepsy ◽  
Absence Seizure ◽  
Epileptiform Discharges ◽  
Morlet Continuous Wavelet Transform

Absence seizures are generalized nonmotor epileptic seizures with abrupt onset and termination. Transient impairment of consciousness and spike-slow wave discharges (SWDs) in EEG are their characteristic manifestations. This type of seizure is severe in two common pediatric syndromes: childhood (CAE) and juvenile (JAE) absence epilepsy. The appearance of low-cost, portable EEG devices has paved the way for long-term, remote monitoring of CAE and JAE patients. The potential benefits of this kind of monitoring include facilitating diagnosis, personalized drug titration, and determining the duration of pharmacotherapy. Herein, we present a novel absence detection algorithm based on the properties of the complex Morlet continuous wavelet transform of SWDs. We used a dataset containing EEGs from 64 patients (37 h of recordings with almost 400 seizures) and 30 age and sex-matched controls (9 h of recordings) for development and testing. For seizures lasting longer than 2 s, the detector, which analyzed two bipolar EEG channels (Fp1-T3 and Fp2-T4), achieved a sensitivity of 97.6% with 0.7/h detection rate. In the patients, all false detections were associated with epileptiform discharges, which did not yield clinical manifestations. When the duration threshold was raised to 3 s, the false detection rate fell to 0.5/h. The overlap of automatically detected seizures with the actual seizures was equal to ~96%. For EEG recordings sampled at 250 Hz, the one-channel processing speed for midrange smartphones running Android 10 (about 0.2 s per 1 min of EEG) was high enough for real-time seizure detection.

Classification of seizures and epilepsy

2019 ◽  
pp. 935-944
Author(s):  
Andrew McEvoy ◽  
Tim Wehner ◽  
Victoria Wykes
Keyword(s):  
Focal Epilepsy ◽  
Focal Cortical Dysplasia ◽  
Hippocampal Sclerosis ◽  
Epileptic Seizures ◽  
Recurrence Risk ◽  
Medical Emergency ◽  
Unprovoked Seizure ◽  
Generalized Seizures ◽  
The Brain

Epileptic seizures are transient neurologic alterations due to abnormal excessive or synchronous neuronal cerebral activity. They may cause subjective symptoms (aura), and objective autonomic, behavioural, or cognitive alterations in any combination. Focal seizures are initially generated in one circumscribed area in the brain, whereas generalized seizures involve bihemispheric neuronal networks from the seizure onset. Epilepsy is a brain disease defined by the occurrence of two unprovoked seizures more than 24 h apart or one unprovoked seizure with underlying pathological or genetic factors resulting in a similar recurrence risk. Focal epilepsy syndromes are best classified by aetiology or anatomical area of origin. A seizure that does not self-terminate results in status epilepticus, and constitutes a medical emergency that requires immediate treatment. Focal cortical dysplasia and hippocampal sclerosis are the commonest aetiologies of epilepsy amenable to surgical treatment and are reviewed here. The limbic pathway may be involved in seizure propagation, and the anatomy is described.

Supratentorial Cavernous Angiomas and Epileptic Seizures: Preoperative Course and Postoperative Outcome

Neurosurgery ◽  
1996 ◽  
Vol 39 (6) ◽  
pp. 1271-1271 ◽  
Author(s):  
Henry W.S. Schroeder ◽  
Michael R. Gaab ◽  
U. Runge
Keyword(s):  
Postoperative Outcome ◽  
Epileptic Seizures ◽  
Cavernous Angiomas

scholarly journals Epileptic seizures and EEG features in juvenile systemic lupus erythematosus

2008 ◽  
Vol 66 (3a) ◽  
pp. 468-470 ◽  
Author(s):  
Simone Carreiro Vieira-Karuta ◽  
Izabella Celidônio Bertoldo Silva ◽  
Paulo Breno Noronha Liberalesso ◽  
Márcia Bandeira ◽  
Loris Janz Jr ◽  
...  
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Lupus Erythematosus ◽  
Age Of Onset ◽  
Epileptic Seizures ◽  
Temporal Region ◽  
Systemic Lupus ◽  
Juvenile Systemic Lupus Erythematosus ◽  
Epileptiform Discharges ◽  
The Central Nervous System ◽  
The Right

INTRODUCTION: Juvenile systemic lupus erythematosus is more incident in female affecting different systems including the central nervous system. The aim of this study was to check the incidence of seizures and electroencephalographic features in these patients. METHOD: It was analyzed all patients with juvenile systemic lupus erythematosus referred to the Pequeno Príncipe Hospital in Curitiba, PR, Brazil, in the year of 2007. The patients were submitted to EEG and subdivided into two groups according to the presence or absence of epileptic seizures. Mann-Whitney statistical test was used. RESULTS: Forty-nine cases were included, there were 73.45% female, with an age between 3 and 28 years (µ=17.00 years; s=5.01 years). Seizures (13/26.50%) were the most frequent manifestation followed by headache (13/26.50%) and ischemic stroke (6/12.25%). Cerebral vasculites were the most frequent alteration in neuroimage. The abnormalities of EEG were characterized by asymmetry of the electric cerebral activity, diffuse disorganized background activity, focal epileptiform discharges in the right central-temporal region, generalized paroxysmal of 3 Hz spike-waves, and bursts of theta-delta slowness activity in the right parietal-occiptal region. The statistic analysis showed no significantly difference between age of onset of symptoms and the risk of seizures (p 0.675) as well as between time of the disease and the risk of seizures (p 0.436). CONCLUSION: Neurologic manifestations, in special epileptic seizures, are frequent in systemic lupus erythematosus. Age of onset of symptoms and the time of disease did not increase the risk of epileptic seizures in this disease.

Astrocytic Glutamate Release-Induced Transient Depolarization and Epileptiform Discharges in Hippocampal CA1 Pyramidal Neurons

2005 ◽  
Vol 94 (6) ◽  
pp. 4121-4130 ◽  
Author(s):  
Ning Kang ◽  
Jun Xu ◽  
Qiwu Xu ◽  
Maiken Nedergaard ◽  
Jian Kang
Keyword(s):  
Laser Scanning ◽  
Pyramidal Neurons ◽  
Glutamate Release ◽  
Hippocampal Slices ◽  
Epileptic Seizures ◽  
Epileptic Activity ◽  
Laser Scanning Microscopy ◽  
Patch Clamp Recording ◽  
Ca1 Pyramidal Neurons ◽  
Epileptiform Discharges

A paroxysmal depolarization shift (PDS) has been suggested to be a hallmark for epileptic activity in partial-onset seizures. By monitoring membrane potentials and currents in pairs of pyramidal neurons and astrocytes with dual patch-clamp recording and exocytosis of vesicles from astrocytes with two-photon laser scanning microscopy in hippocampal slices, we found that infusion of inositol 1,4,5-trisphosphate (IP3) into astrocytes by patch pipettes induced astrocytic glutamate release that triggered a transient depolarization (TD) and epileptiform discharges in CA1 pyramidal neurons. The TD is due to a tetrodotoxin (TTX)-insensitive slowly decaying transient inward current (STC). Astrocytic glutamate release simultaneously triggers both the STC in pyramidal neurons and a transport current (TC) in astrocytes. The neuronal STC is mediated by ionotropic glutamate receptors leading to the TD and epileptiform discharges; while the astrocytic TC is a glutamate reuptake current resulting from transporting released glutamate into the patched astrocyte. Fusion of a large vesicle in astrocytes was immediately followed by an astrocytic TC, suggesting that the fused vesicle contains glutamate. Both fusion of large vesicles and astrocytic TCs were blocked by tetanus toxin (TeNT), suggesting that astrocytic glutamate release is via SNARE-dependent exocytosis of glutamate-containing vesicles. In the presence of TTX, the epileptogenic reagent, 4-AP, also induced similar neuronal STCs and astrocytic TCs, suggesting that astrocytic glutamate release may play an epileptogenic role in initiation of epileptic seizures under pathological conditions. Our study provides a novel mechanism, astrocytic release of glutamate, for seizure initiation.

Pure sylvian fissure arteriovenous malformations

2000 ◽  
Vol 92 (1) ◽  
pp. 39-44 ◽  
Author(s):  
Gary Zimmerman ◽  
Adam I. Lewis ◽  
John M. Tew
Keyword(s):  
Arteriovenous Malformations ◽  
Short Term Memory ◽  
Vascular Malformations ◽  
Neuropsychological Testing ◽  
Memory Loss ◽  
Complete Removal ◽  
Sylvian Fissure ◽  
Neurological Deficits ◽  
Content Type ◽  
Fine Print

Object. Pure sylvian fissure arteriovenous malformations (AVMs) are vascular malformations confined to the sylvian fissure without parenchymal involvement. Because the branches of the middle cerebral artery are arteries of passage and the margins between the AVM and the insula cortex may be ill defined, many surgeons regard pure sylvian fissure AVMs as inoperable. The authors reviewed their surgical experience with eight patients harboring pure sylvian fissure AVMs to determine the incidence of operative morbidity.Methods. All eight patients experienced seizures, five (63%) had headaches, and three (38%) experienced hemorrhages. Preoperatively, six patients (75%) were normal neurologically and two (25%) had neurological deficits. Five (63%) of eight sylvian fissure AVMs were located in the dominant hemisphere. The size of the nidus ranged from 6 to 27 cm3 (mean 14 cm3).Complete removal of the AVM was documented by postoperative angiography in every case. Seizures were reduced or eliminated and headaches were relieved in all affected patients. Transient neurological deficits, which included aphasia, short-term memory loss, and hemiparesis, occurred in four patients (50%). Within 3 months, all patients were functioning independently with no new neurological deficits. The status of two patients who had had preoperative neurological deficits improved postoperatively. Neuropsychological testing showed no new cognitive deficits.Conclusions. With appreciation for transient instances of postoperative morbidity, the outcome was excellent in all patients. The authors thus advocate microsurgery as the primary treatment for pure sylvian fissure AVMs.

scholarly journals Management of patients with single and rare epileptic seizures

2020 ◽  
Vol 15 (2) ◽  
pp. 12-16
Author(s):  
A. S. Kotov
Keyword(s):  
Magnetic Resonance ◽  
Epileptic Seizures ◽  
Resonance Imaging ◽  
Medical Problems ◽  
Unprovoked Seizure ◽  
Life Study ◽  
History Of ◽  
Patients With Epilepsy ◽  
The Brain

Objective: to study the structure of the disease and develop tactics of treatment of patients with single and rare epileptic seizures. Materials and methods. 1200 patients with epilepsy were examined, 103 patients were identified who had no more than 3 seizures throughout their life. Study included evaluation of anamnesis, clinical and neurological examination, routine electroencephalography and/or videoelectroencephalographic monitoring, magnetic resonance imaging of the brain. Results. Relapse of seizures in individuals with a history of follow-up occurred in 32 % of cases; epileptogenic changes in magnetic resonance image and, especially, anatomical and electro-clinical correlation of the epilepsy focus were associated with the risk of relapse. Conclusions. The decision on drug therapy after the first unprovoked seizure should be based on the ratio of the risk of repeated seizures and the risk of side effects. This solution should be individual and take into account not only medical problems, but also the preferences of the patient and his family members.

Roles of Very Fast Ripple (500–1000Hz) in the Hippocampal Network During Status Epilepticus

2020 ◽  
pp. 2150002
Author(s):  
Jianmin Hao ◽  
Yan Cui ◽  
Bochao Niu ◽  
Liang Yu ◽  
Yuhang Lin ◽  
...  
Keyword(s):  
Status Epilepticus ◽  
Temporal Lobe ◽  
Phase Locking ◽  
Epileptic Seizures ◽  
Network Activity ◽  
Slow Oscillations ◽  
Functional Roles ◽  
High Frequency Oscillations ◽  
Epileptiform Discharges ◽  
Hippocampal Network

Very fast ripples (VFRs, 500–1000[Formula: see text]Hz) are considered more specific than high-frequency oscillations (80–500[Formula: see text]Hz) as biomarkers of epileptogenic zones. Although VFRs are frequent abnormal phenomena in epileptic seizures, their functional roles remain unclear. Here, we detected the VFRs in the hippocampal network and tracked their roles during status epilepticus (SE) in rats with pilocarpine-induced temporal lobe epilepsy (TLE). All regions in the hippocampal network exhibited VFRs in the baseline, preictal, ictal and postictal states, with the ictal state containing the most VFRs. Moreover, strong phase-locking couplings existed between VFRs and slow oscillations (1–12[Formula: see text]Hz) in the ictal and postictal states for all regions. Further investigation indicated that during VFRs, the build-up of slow oscillations in the ictal state began from the temporal lobe and then spread through the whole hippocampal network via two different pathways, which might be associated with the underlying propagation of epileptiform discharges in the hippocampal network. Overall, we provide a functional description of the emergence of VFRs in the hippocampal network during SE, and we also establish that VFRs may be the physiological representation of the pathological alterations in hippocampal network activity during SE in TLE.

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