Epileptic Disorders最新文献_第9页

Video games are exciting: a European study of video game‐induced seizures and epilepsy 电子游戏令人兴奋：欧洲对电子游戏诱发癫痫发作和癫痫的研究

IF 2.3 4区医学

Epileptic Disorders Pub Date : 2024-03-27 DOI: 10.1684/j.1950-6945.2002.tb00481.x

D.G.A. Kasteleijn‐Nolst Trenité, A. Martins da Silva, S. Ricci, G. Rubboli, C.A. Tassinari, J. Lopes, M. Bettencourt, J. Oosting, J.P. Segers

{"title":"Video games are exciting: a European study of video game‐induced seizures and epilepsy","authors":"D.G.A. Kasteleijn‐Nolst Trenité, A. Martins da Silva, S. Ricci, G. Rubboli, C.A. Tassinari, J. Lopes, M. Bettencourt, J. Oosting, J.P. Segers","doi":"10.1684/j.1950-6945.2002.tb00481.x","DOIUrl":"https://doi.org/10.1684/j.1950-6945.2002.tb00481.x","url":null,"abstract":"Background Video game seizures have been reported in photosensitive and non‐photosensitive patients with epilepsy. The game Super Mario World, has led to many cases of first seizures. We examined whether this game was indeed more provocative than other programs and whether playing the game added to this effect. Methods We prospectively investigated 352 patients in four European cities, using a standard protocol including testing of a variety of visual stimuli. We correlated historical data on provocative factors in daily life with electroencephalographic laboratory findings. Results The video game, Super Mario World proved more epileptogenic than standard TV programs and as provocative as programs with flashing lights and patterns. Most striking was the fact that video game‐viewing and‐playing on the 50 and 100 Hz TV was significantly more provocative than viewing the standard program ( P < 0.001, P < 0.05 respectively). Playing the video game Mario World on a 50 Hz TV, appeared to be significantly more provocative than playing this game on the 100 Hz TV ( P < 0.001). Of 163 patients with a history of TV‐, VG‐ or CG‐seizures, 85% of them showed epileptiform discharges in response to photic stimulation, 44% to patterns, 59% to 50 Hz TV and 29% to 100 Hz TV. Conclusions Children and adolescents with a history of video game seizures are, in the vast majority, photosensitive and should be investigated with standardised photic stimulation. Games and programs with bright background or flashing images are specifically provocative. Playing a video game on a 100 Hz TV is less provocative [published with videosequences].","PeriodicalId":50508,"journal":{"name":"Epileptic Disorders","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140312960","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

Temporoporal metabolic abnormalities in temporal lobe epilepsies 颞叶癫痫的颞叶代谢异常

IF 2.3 4区医学

Epileptic Disorders Pub Date : 2024-03-27 DOI: 10.1684/j.1950-6945.2002.tb00518.x

Franck Semah

{"title":"Temporoporal metabolic abnormalities in temporal lobe epilepsies","authors":"Franck Semah","doi":"10.1684/j.1950-6945.2002.tb00518.x","DOIUrl":"https://doi.org/10.1684/j.1950-6945.2002.tb00518.x","url":null,"abstract":"Positron emission tomography (PET) may be used to map regional cerebral glucose metabolism using 18 F‐deoxyglucose‐PET in patients with partial epilepsy. An area of reduced glucose metabolism, that is commonly more extensive than the underlying anatomical abnormality, is reported in most of the patients with medically refractory partial epilepsy. These functional changes are useful in the delineation of the epileptogenic focus prior to surgery. Nevertheless, in patients with mesial temporal lobe epilepsy (MTLE) without mass lesion, the hypometabolism involves a large area of the temporal lobe, including the mesial structures, the temporal pole and part of the lateral temporal cortex. In such patients with MTLE, subcortical structures and extratemporal lobe areas are also often hypometabolic. The reasons for this large hypometabolism remain debated. In MTLE patients, the most severe hypometabolism is found in the temporo‐polar region. The clinical significance of this temporo‐polar hypometabolism is unknown. The pathophysiology of interictal hypometabolism probably involves several mechanisms, such as neuronal loss, deafferentation, postictal depression, and others epilepsy‐related phenomena. The relationship between interictal temporo‐polar hypometabolism and seizure onset or seizure spread remain speculative.","PeriodicalId":50508,"journal":{"name":"Epileptic Disorders","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140313011","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

Subdural electrodes in focal cortical dysplasia 局灶性皮质发育不良的硬膜下电极

IF 2.3 4区医学

Epileptic Disorders Pub Date : 2024-03-27 DOI: 10.1684/j.1950-6945.2003.tb00564.x

Soheyl Noachtar

引用次数: 0

Eating epilepsy. Heterogeneity of ictal semiology: the role of video‐EEG monitoring 进食性癫痫。发作期半身像的异质性：视频电子脑电图监测的作用

IF 2.3 4区医学

Epileptic Disorders Pub Date : 2024-03-27 DOI: 10.1684/j.1950-6945.2000.tb00362.x

Vincenzo Loreto, Cristofaro Nocerino, Pasquale Striano, Federica D'Aulos, Patrizia Boccella, Salvatore Striano

引用次数: 0

Message from the Editor 编辑的话

IF 2.3 4区医学

Epileptic Disorders Pub Date : 2024-03-27 DOI: 10.1684/j.1950-6945.1999.tb00286.x

Jean Aicardi

引用次数: 0

Electrocorticography 皮层电图

IF 2.3 4区医学

Epileptic Disorders Pub Date : 2024-03-27 DOI: 10.1684/j.1950-6945.2000.tb00352.x

Daniel L. Keene, Sharon Whiting, Enrique C.G. Ventureyra

引用次数: 0

Clinical findings, imaging characteristics and outcome in catastrophic post‐encephalitic epilepsy 灾难性脑损伤后癫痫的临床发现、成像特征和预后

IF 2.3 4区医学

Epileptic Disorders Pub Date : 2024-03-27 DOI: 10.1684/j.1950-6945.2000.tb00375.x

Eugen Trinka, François Dubeau, Frederick Andermann, Alexandre Bastos, Andrew Hui, Li Min Li, Stefan Köhler, André Olivier

{"title":"Clinical findings, imaging characteristics and outcome in catastrophic post‐encephalitic epilepsy","authors":"Eugen Trinka, François Dubeau, Frederick Andermann, Alexandre Bastos, Andrew Hui, Li Min Li, Stefan Köhler, André Olivier","doi":"10.1684/j.1950-6945.2000.tb00375.x","DOIUrl":"https://doi.org/10.1684/j.1950-6945.2000.tb00375.x","url":null,"abstract":"Objectives The aim of this study is to characterize the clinical features and prognostic factors for intractable, post‐encephalitic epilepsy. Methods We studied retrospectively 42 patients (26 men) evaluated between 1982 and 1999. MRI, neuropsychological findings, interictal and ictal scalp EEG were reviewed for all patients. Fifteen patients had additional stereo EEG (SEEG) studies. Results The mean age at encephalitis was 17 years (SD = 15.5); etiology was identified in 18 patients. During the acute illness, 79% had status epilepticus (SE) or recurrent seizures and 76% were in coma; mean Glasgow outcome scale (GOS) was 3.6 (SD = 0.8). The mean latency to seizure onset was 0.8 years (SD = 1.9). The majority (72%) presented with complex partial seizures with or without secondary generalization. According to interictal epileptiform findings and the predominant seizure onset pattern as found on scalp EEG, patients were unilateral temporal (UTLE) = 8, bilateral temporal (BTLE) = 12, and extratemporal/multifocal or generalized (ETMFE) = 22 patients. MRI atrophy and/or signal changes were unilateral temporal in 7 (18%), bilateral temporal in 5 (13%), multilobar/diffuse in 20 (51%), and absent in 7 (18%). ANOVA revealed significant differences in mean GOS between UTLE versus BTLE and ETMFE (4.7 versus 3.2 versus 3.6; p < 0.0001), but not in age at encephalitis. Latency to the first unprovoked seizure was shorter in patients with ETMFE compared to UTLE and BTLE (p < 0.01). Surgery was performed in 24 patients. The best outcome was obtained in UTLE (7/8 class I and II). In the others, outcome was poor in the majority (13/16 class III and IV). Conclusion There is a small subgroup of patients with postencephalitic UTLE for whom the outcome is favorable. The majority of our patients had multifocal seizure onset with BTLE and ETMFE, and poor outcome after surgical treatment.","PeriodicalId":50508,"journal":{"name":"Epileptic Disorders","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140312957","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

Seizure with prominent tonic initial signs followed by psychomotor features: a case report clinically manifesting an unusual ictal evolution 具有突出强直性初始症状和精神运动特征的癫痫发作：临床表现为不寻常发作演变的病例报告

IF 2.3 4区医学

Epileptic Disorders Pub Date : 2024-03-27 DOI: 10.1684/j.1950-6945.1999.tb00308.x

Akio Ikeda, Akira Sengoku, Nobuhisa Aoyagi, Yasutaka Kubota, Riki Matsumoto, Shinji Ohara, Takeharu Kunieda, Kaku Kimura, Jun Takahashi, Susumu Miyamoto, Hiroshi Shibasaki

{"title":"Seizure with prominent tonic initial signs followed by psychomotor features: a case report clinically manifesting an unusual ictal evolution","authors":"Akio Ikeda, Akira Sengoku, Nobuhisa Aoyagi, Yasutaka Kubota, Riki Matsumoto, Shinji Ohara, Takeharu Kunieda, Kaku Kimura, Jun Takahashi, Susumu Miyamoto, Hiroshi Shibasaki","doi":"10.1684/j.1950-6945.1999.tb00308.x","DOIUrl":"https://doi.org/10.1684/j.1950-6945.1999.tb00308.x","url":null,"abstract":"A clinically tonic seizure phase, immediately followed by psychomotor features (right hand dystonic posture, left hand and oral automatisms), was recorded by video and EEG, in a patient who had gliosis of the left temporal lobe and left hippocampal atrophy. Interictal epileptiform discharges were frequently seen in the left temporal area, and at the time of the tonic seizure phase, ictal spike discharges were continuously observed at the left posterior temporal area, which was recognized only by applying a high frequency filter (HFF) of 15 Hz to the digitally recorded EEG because EMG artifacts totally obscured the EEG with a HFF of 60 Hz. It is most likely that tonic seizure can occur in an adult patient with temporal lobe epilepsy, and it is speculated that an epileptogenic focus might activate a certain brain area which is regarded as a symptomatogenic zone for tonic seizures. If the tonic seizure phase is immediately followed by psychomotor features as seen in the present patient, the former could be due to focal epilepsy.","PeriodicalId":50508,"journal":{"name":"Epileptic Disorders","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140312978","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

Gelastic seizures: video‐EEG and scintigraphic analysis of a case with a frontal focus; review of the literature and pathophysiological hypotheses 凝胶痉挛发作：对一例额部病灶的视频脑电图和闪烁扫描分析；文献综述和病理生理学假设

IF 2.3 4区医学

Epileptic Disorders Pub Date : 2024-03-27 DOI: 10.1684/j.1950-6945.1999.tb00328.x

A. Biraben, E. Sartori, D. Taussig, A.M. Bernard, J.M. Scarabin

{"title":"Gelastic seizures: video‐EEG and scintigraphic analysis of a case with a frontal focus; review of the literature and pathophysiological hypotheses","authors":"A. Biraben, E. Sartori, D. Taussig, A.M. Bernard, J.M. Scarabin","doi":"10.1684/j.1950-6945.1999.tb00328.x","DOIUrl":"https://doi.org/10.1684/j.1950-6945.1999.tb00328.x","url":null,"abstract":"We report scalp EEG and SPECT findings in a young patient who experienced gelastic seizures; clinical, EEG and scintigraphic data strongly suggested a frontal focus in a context of cryptogenic epilepsy. Few cases of gelastic seizures originating in the frontal lobe have been reported in the literature, most of them involving a diencephalic hamartoma or a temporal focus although, no clinical pattern has been found to be specific for each of these three anatomical regions. The ictal laughter is of variable nature, unmotivated or associated with feelings of mirth, forced or natural, except in the case of a frontal focus where the laughter seems consistently described as forced and unmotivated. However, mirth and laughter are two dissociable clinical elements; their genesis probably involves distinct mechanisms. Anatomical considerations lead to several hypotheses concerning laughter generation: it could be a simple reactional behavior in response to a modified cognitive process, an automatic behavior or a forced action. In a few cases with a temporal focus, laughter seems directly related to a disorganization of the associative temporal cortex and may be considered as a reactional behavior. In cases with frontal focus, anterior cingulate and orbital structures would be particularly implicated in laugher genesis, although with possible different pathophysiological routes: in the first case by disconnection within the premotor mesial system or by an imbalance between premotor mesial and premotor lateral systems, and in the second case by activation of a previously conditioned orbital region.","PeriodicalId":50508,"journal":{"name":"Epileptic Disorders","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140313010","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

Authors index 作者索引

IF 2.3 4区医学

Epileptic Disorders Pub Date : 2024-03-27 DOI: 10.1684/j.1950-6945.2000.tb00452.x

引用次数: 0