Epileptic Disorders最新文献_第2页

Subclinical rhythmic EEG discharge of adults (SREDA) in pediatric population: A case series with systematic review of the literature. 儿童群体中的成人亚临床节律性脑电图放电（SREDA）：病例系列及文献系统回顾。

IF 1.9 4区医学

Epileptic Disorders Pub Date : 2024-10-16 DOI: 10.1002/epd2.20294

Luca Bosisio, Maria Margherita Mancardi, Silvia Boeri, Lino Nobili, Giulia Nobile, Laura Siri, Giulia Prato, Edoardo Canale

{"title":"Subclinical rhythmic EEG discharge of adults (SREDA) in pediatric population: A case series with systematic review of the literature.","authors":"Luca Bosisio, Maria Margherita Mancardi, Silvia Boeri, Lino Nobili, Giulia Nobile, Laura Siri, Giulia Prato, Edoardo Canale","doi":"10.1002/epd2.20294","DOIUrl":"https://doi.org/10.1002/epd2.20294","url":null,"abstract":"Subclinical rhythmic electrographic discharge of adults (SREDA) is one of the rarest and most challenging non-epileptic electroencephalographic variants. Although the pathogenesis of this activity is unclear, an association with vascular insufficiency and cerebral hypoxia has been proposed. SREDA usually occurs in adulthood, but there are few reports in the pediatric population. We performed a systematic review of the literature, confirming the rarity of this condition in children, and added 5 more subjects. We report on a total of 16 children with SREDA. Sufficient data are available for 15 patients. The mean age at first detection of SREDA was 11.5 years. We observed that 67% (10/15) of the subjects had previous seizures: 80% (8/10) of them had an epilepsy diagnosis and 38% (3/8) had generalized epilepsy. Moreover, 8 of 13 subjects whose medical history was available (61%) had a neurodevelopmental disorder. From an electroencephalographic point of view, we noted a prevalence of bilateral SREDA with atypical localization and abrupt onset and end. Since SREDA can be incorrectly interpreted as an epileptic discharge, with possible therapeutic implications, it is important to consider its possible occurrence also in pediatric patients, perhaps more frequently in those with neurodevelopmental disorders.","PeriodicalId":50508,"journal":{"name":"Epileptic Disorders","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Status epilepticus with bilateral basal ganglia hyperintensity in anti-LGI1 encephalitis. 抗LGI1脑炎伴有双侧基底节高密度的癫痫状态。

IF 1.9 4区医学

Epileptic Disorders Pub Date : 2024-10-10 DOI: 10.1002/epd2.20300

Xiaoli Wang, Gaofeng Liu, Jingya Wei, Yonghong Liu

引用次数: 0

Ictal asystole and increased ictal heart rate variability in PCDH19-related epilepsy. 与 PCDH19 相关的癫痫的发作期心搏骤停和发作期心率变异性增加。

IF 1.9 4区医学

Epileptic Disorders Pub Date : 2024-10-09 DOI: 10.1002/epd2.20281

Audrey Nguyen, Ralf Eberhard, Elisabeth Simard-Tremblay, Kenneth A Myers

引用次数: 0

Identifying the infraslow activity associated with faciobrachial dystonic seizures in EEG. 从脑电图中识别与面肌强直性痉挛发作相关的下行活动。

IF 1.9 4区医学

Epileptic Disorders Pub Date : 2024-10-09 DOI: 10.1002/epd2.20296

Richard Wennberg, Julien Hébert, David Tang-Wai

引用次数: 0

Nothing about us all, without us all-Time for a second look at our exclusion criteria? 没有我们大家，就没有我们大家--是时候重新审视我们的排除标准了？

IF 1.9 4区医学

Epileptic Disorders Pub Date : 2024-10-05 DOI: 10.1002/epd2.20297

Claire Behan

引用次数: 0

Reactivity of EEG patterns is a crucial indicator to determine the EEG is not ictal: A case of topiramate overdose. 脑电图模式的反应性是确定脑电图不是发作性的关键指标：托吡酯过量病例。

IF 1.9 4区医学

Epileptic Disorders Pub Date : 2024-10-05 DOI: 10.1002/epd2.20298

Philippe Gélisse, Arielle Crespel

引用次数: 0

Unveiling variability: A systematic review of reproducibility in visual EEG analysis, with focus on seizures. 揭示变异性：视觉脑电图分析可重复性系统回顾，重点关注癫痫发作。

IF 1.9 4区医学

Epileptic Disorders Pub Date : 2024-09-28 DOI: 10.1002/epd2.20291

Eivind Aanestad, Sándor Beniczky, Henning Olberg, Jan Brogger

{"title":"Unveiling variability: A systematic review of reproducibility in visual EEG analysis, with focus on seizures.","authors":"Eivind Aanestad, Sándor Beniczky, Henning Olberg, Jan Brogger","doi":"10.1002/epd2.20291","DOIUrl":"https://doi.org/10.1002/epd2.20291","url":null,"abstract":"Objective: Reproducibility is key for diagnostic tests involving subjective evaluation by experts. Our aim was to systematically review the reproducibility of visual analysis in clinical electroencephalogram (EEG). In this paper, we give data on the scope of EEG features found, and detailed reproducibility data for the most studied feature.Methods: We searched four databases for articles reporting reproducibility in clinical EEG, until June 2023. Two raters screened 24 553 citations, and then 2736 full texts. Quality was assessed according to the GRRAS guidelines.Results: We found 275 studies (268 interrater and 20 intrarater), addressing 606 different EEG features. Only 38 EEG features had been studied in >2 studies. Most studies had <50 patients and EEGs. The most often addressed feature was seizure detection (62 papers). Interrater reproducibility of seizure detection was substantial-to-almost-perfect with experienced raters and raw EEG (kappa .62-.88). With experienced raters and transformed EEG, reproducibility was substantial (kappa .63-.70). Inexperienced raters had lower reproducibility. Seizure lateralization reproducibility was moderate to substantial (kappa .58-.77) but lower than for seizure detection.Significance: Most EEG reproducibility studies are done only once. Intrarater studies are rare. The reproducibility of visual EEG analysis is variable. Interrater reproducibility for seizure detection is substantial-to-perfect with experienced raters and raw EEG, less with inexperienced raters or transformed EEG. The results of visual EEG analysis vary within the same rater, and between raters. There is a need for larger collaborative studies, using improved methodology, as well as more intrarater studies of EEG interpretation.","PeriodicalId":50508,"journal":{"name":"Epileptic Disorders","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Peripartum seizures in women with epilepsy and multidisciplinary considerations as to how they can be prevented. 癫痫妇女的围产期癫痫发作以及如何预防癫痫发作的多学科考虑。

IF 1.9 4区医学

Epileptic Disorders Pub Date : 2024-09-28 DOI: 10.1002/epd2.20283

Melanie Nana, Surabhi Nanda, Jennifer Nightingale, Maryann Butchers, Anita Banerjee, Sonji Clarke, Catherine Williamson, William Stern, Catherine Nelson-Piercy

{"title":"Peripartum seizures in women with epilepsy and multidisciplinary considerations as to how they can be prevented.","authors":"Melanie Nana, Surabhi Nanda, Jennifer Nightingale, Maryann Butchers, Anita Banerjee, Sonji Clarke, Catherine Williamson, William Stern, Catherine Nelson-Piercy","doi":"10.1002/epd2.20283","DOIUrl":"https://doi.org/10.1002/epd2.20283","url":null,"abstract":"Objective: Seizures during labor are reported in 3.5% of women with epilepsy (WWE) and can result in both maternal and fetal morbidity. In response to an anecdotal increase in WWE developing seizures in labor or peripartum (up to 24 h post-partum), a review of patients managed in our service was undertaken to define the incidence of peripartum seizures and determine learning points.Methods: A retrospective review of all cases of WWE having peripartum seizures from 2017 to 2022 in our institution was undertaken. Each case was reviewed by the multidisciplinary team (MDT) and common themes identified.Results: In total, 106 WWE received pregnancy care in the study period, of whom 8/106 (7.5%) had a seizure in the peripartum period. The MDT-agreed learning points included importance of pre-pregnancy counseling, prompt up-titration of antiepileptic drugs where indicated and recommendations for the management in the peripartum period.Significance: We concluded that the peripartum period remains a high-risk time for seizures in WWE. There is little evidence to support guidelines for the management of WWE in the peripartum period. In the absence of this evidence, sharing experience may help those managing such women to improve care and reduce risk during this vulnerable time.","PeriodicalId":50508,"journal":{"name":"Epileptic Disorders","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Dianalund experience: A review of the 6th ILAE School on Advanced EEG and Epilepsy. Dianalund 的经验：第六届 ILAE 高级脑电图和癫痫学校回顾。

IF 1.9 4区医学

Epileptic Disorders Pub Date : 2024-09-25 DOI: 10.1002/epd2.20289

Daniel Filipe Borges, Giulia Primicerio, Radu-Ștefan Perjoc, Lars Ølgaard Bloch, Melita Cacic Hribljan

引用次数: 0

IF 1.9 4区医学

Epileptic Disorders Pub Date : 2024-09-21 DOI: 10.1002/epd2.20285

Lara Wadi, Mays Khweileh, Shruti Agashe, Derek Southwell, Prachi Parikh, Birgit Frauscher

{"title":"Sleep-related hypermotor seizures originating from the occipital lobe.","authors":"Lara Wadi, Mays Khweileh, Shruti Agashe, Derek Southwell, Prachi Parikh, Birgit Frauscher","doi":"10.1002/epd2.20285","DOIUrl":"https://doi.org/10.1002/epd2.20285","url":null,"abstract":"We present two unique cases of sleep-related hypermotor epilepsy (SHE) originating from the occipital lobe. Patients with sleep-related seizures and drug-resistant occipital lobe epilepsy were identified from the ANPHY lab stereo-electroencephalography (SEEG) research database at the Duke Comprehensive Epilepsy Center. We identified two young females with frequent sleep-related focal seizures and occasional focal to bilateral tonic clonic seizures characterized by hypermotor movements. During wakefulness, the semiology also involved an elementary visual aura. They meet the 2016 diagnostic criteria for SHE, and SEEG monitoring with cortical stimulation mapping identified an epileptogenic zone (EZ) within the occipital lobe, with most seizures occurring out of NREM 2 sleep. Responsive neurostimulation devices were implanted, which indicated a trend for event detections in nocturnal periods. Extrafrontal SHE has characteristically been described in the temporal, insular-opercular, and parietal lobes. Here, we demonstrate using SEEG-confirmed EZ identification, that SHE can also originate in the occipital lobe. In patients with sleep-related seizures and hypermotor behavior, occipital lobe seizures thus should not be excluded from the differential diagnosis. Key in identifying this rare localization is non-frontal aura semiology and delay to motor symptoms, which may be supported by a visual field deficit and structural MRI abnormality.","PeriodicalId":50508,"journal":{"name":"Epileptic Disorders","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0