Hilde M. Braakman , Joke Creemers , Danny M. Hilkman , Sylvia Klinkenberg , Suzanne M. Koudijs , Mariette Debeij-van Hall , Erwin M. Cornips
{"title":"Improved seizure control and regaining cognitive milestones after vagus nerve stimulation revision surgery in Lennox–Gastaut syndrome","authors":"Hilde M. Braakman , Joke Creemers , Danny M. Hilkman , Sylvia Klinkenberg , Suzanne M. Koudijs , Mariette Debeij-van Hall , Erwin M. Cornips","doi":"10.1016/j.ebcr.2018.08.002","DOIUrl":"10.1016/j.ebcr.2018.08.002","url":null,"abstract":"<div><p>We report a child with Lennox–Gastaut syndrome with an increase in seizure frequency and loss of psychomotor skills due to a disintegrated cervical VNS lead, not detected during standard device monitoring. The lead was completely removed and replaced by a new 303 lead on the same nerve segment. After reinitiating VNS, side effects forced us to switch it off, resulting in immediate seizure recurrence. EEG recording demonstrated a non-convulsive status epilepticus that was halted by reinitiating VNS therapy. Thereafter, he remained seizure free for eight months, and regained psychomotor development.</p></div>","PeriodicalId":56365,"journal":{"name":"Epilepsy and Behavior Case Reports","volume":"10 ","pages":"Pages 111-113"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ebcr.2018.08.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36610180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Andy Cheuk-Him Ng , Miljan Tripic , Seyed M. Mirsattari
{"title":"Teratoma-negative anti-NMDA receptor encephalitis presenting with a single generalized tonic–clonic seizure","authors":"Andy Cheuk-Him Ng , Miljan Tripic , Seyed M. Mirsattari","doi":"10.1016/j.ebcr.2018.02.001","DOIUrl":"10.1016/j.ebcr.2018.02.001","url":null,"abstract":"<div><p>Herein, we describe a case report of anti-NMDA receptor encephalitis characterized by a single generalized tonic–clonic seizure and predominantly psychiatric symptoms, persisting long after EEG abnormalities had resolved. We discuss common presentations of anti-NMDA receptor encephalitis and advocate for the inclusion of this disease entity in the differential diagnosis of patients presenting with one generalized tonic–clonic seizure and prominent psychiatric symptoms.</p></div>","PeriodicalId":56365,"journal":{"name":"Epilepsy and Behavior Case Reports","volume":"10 ","pages":"Pages 29-31"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ebcr.2018.02.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36286340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Long-term use of methylphenidate in a boy with hypothalamic tumor, drug-resistant epilepsy and ADHD","authors":"Dobrinko Socanski , Nebojsa Jovic , Harald Beneventi , Anita Herigstad","doi":"10.1016/j.ebcr.2018.03.002","DOIUrl":"10.1016/j.ebcr.2018.03.002","url":null,"abstract":"","PeriodicalId":56365,"journal":{"name":"Epilepsy and Behavior Case Reports","volume":"10 ","pages":"Pages 82-85"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ebcr.2018.03.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36382947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kwan-Ming Karen Yam , Wing-Kwan Alex Leung , Xian-Lun Zhu , Lai-Wah Eva Fung
{"title":"Drug resistant epilepsy with mesial temporal sclerosis as possible late neurological complication in two AML survivors after stem cell transplantation","authors":"Kwan-Ming Karen Yam , Wing-Kwan Alex Leung , Xian-Lun Zhu , Lai-Wah Eva Fung","doi":"10.1016/j.ebcr.2018.05.001","DOIUrl":"10.1016/j.ebcr.2018.05.001","url":null,"abstract":"","PeriodicalId":56365,"journal":{"name":"Epilepsy and Behavior Case Reports","volume":"10 ","pages":"Pages 71-77"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ebcr.2018.05.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36367215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ictal vomiting after cerebellar hemorrhage: A case report","authors":"Shunsuke Nomura , Yuichi Kubota , Hidetoshi Nakamoto , Takakazu Kawamata","doi":"10.1016/j.ebcr.2018.08.001","DOIUrl":"10.1016/j.ebcr.2018.08.001","url":null,"abstract":"<div><p>Vomiting is a typical symptom of cerebellar hemorrhage. Usually only supportive care such as antiemetic drugs are available. A 76-year-old woman presented in a light coma. A head CT demonstrated right cerebellar hemorrhage and the hematoma was surgically evacuated. Her intractable vomiting started 3 weeks after surgery. Because her vomiting was unexplained, we checked her EEG, which demonstrated generalized periodic discharges. We diagnosed her with ictal vomiting. Anti-seizure medication was administered and vomiting was rapidly controlled. In conclusion, physicians must be aware that vomiting may rarely occur as a sign of seizures and status epilepticus.</p></div>","PeriodicalId":56365,"journal":{"name":"Epilepsy and Behavior Case Reports","volume":"10 ","pages":"Pages 137-140"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ebcr.2018.08.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36742335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"New onset syncopal events following vagus nerve stimulator implantation might be key to preventing vagus nerve stimulation-induced symptomatic bradycardia — A case report and review","authors":"Hiroko Kato , Ayataka Fujimoto , Tohru Okanishi , Ryo Sugiura , Kentaro Ijima , Hideo Enoki","doi":"10.1016/j.ebcr.2018.04.004","DOIUrl":"10.1016/j.ebcr.2018.04.004","url":null,"abstract":"<div><h3>Purpose</h3><p>To identify risk factors for VNS-associated arrhythmia.</p></div><div><h3>Methods</h3><p>A literature review identified 14 papers with 21 patients. We compared patients with VNS associated arrhythmia (arrhythmia group, n = 22) and patients without VNS associated arrhythmia (control group of our VNS implanted patients, n = 29).</p></div><div><h3>Results</h3><p>New onset syncopal events following VNS placement were seen in the arrhythmia group (p < 0.001).</p></div><div><h3>Conclusion</h3><p>Even though arrhythmia could be symptomatic, most cases associated with syncope were treated as new-onset epileptic seizures with adjustment of anti-seizure drugs. To detect cardiac asystole during VNS treatment, clinicians should be alert to the possibility of new onset syncopal events that differ from habitual seizures.</p></div>","PeriodicalId":56365,"journal":{"name":"Epilepsy and Behavior Case Reports","volume":"10 ","pages":"Pages 57-60"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ebcr.2018.04.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36367212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Joseph R. Blunck, Joseph W. Newman, Ronald K. Fields, John E. Croom
{"title":"Therapeutic augmentation of ketogenic diet with a sodium-glucose cotransporter 2 inhibitor in a super-refractory status epilepticus patient","authors":"Joseph R. Blunck, Joseph W. Newman, Ronald K. Fields, John E. Croom","doi":"10.1016/j.ebcr.2018.05.002","DOIUrl":"10.1016/j.ebcr.2018.05.002","url":null,"abstract":"<div><h3>Background</h3><p>A ketogenic diet (KD) may have a role in treating patients in super-refractory status epilepticus (SRSE). Sodium-glucose cotransporter 2 (SGLT2) inhibitors have a risk of ketoacidosis that could facilitate induction of KD.</p></div><div><h3>Case summary</h3><p>A 42-year-old with a history of drug resistant epilepsy developed SRSE requiring several pharmacological interventions during her hospital course including the initiation of KD that failed. SGLT2 inhibitor therapy was initiated in a successful attempt to augment ketone production.</p></div><div><h3>Conclusion</h3><p>SGLT2 inhibitors may have a therapeutic value in SRSE patients who cannot achieve ketosis with KD alone.</p></div>","PeriodicalId":56365,"journal":{"name":"Epilepsy and Behavior Case Reports","volume":"10 ","pages":"Pages 61-64"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ebcr.2018.05.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36367213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Seizure freedom following surgery for multi-focal epilepsy due to cerebral malaria","authors":"Peraya Piromruen, Chusak Limotai","doi":"10.1016/j.ebcr.2017.07.004","DOIUrl":"10.1016/j.ebcr.2017.07.004","url":null,"abstract":"","PeriodicalId":56365,"journal":{"name":"Epilepsy and Behavior Case Reports","volume":"9 ","pages":"Pages 46-48"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ebcr.2017.07.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36041873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sarah E. Brown , Tamara Shella , Elia Pestana-Knight
{"title":"Development and use of the art therapy seizure assessment sculpture on an inpatient epilepsy monitoring unit","authors":"Sarah E. Brown , Tamara Shella , Elia Pestana-Knight","doi":"10.1016/j.ebcr.2017.11.003","DOIUrl":"10.1016/j.ebcr.2017.11.003","url":null,"abstract":"","PeriodicalId":56365,"journal":{"name":"Epilepsy and Behavior Case Reports","volume":"9 ","pages":"Pages 6-9"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ebcr.2017.11.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36040938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oscar Mauricio Romero Osorio, Juan Felipe Abaunza Camacho, Diana Sandoval Briceño, Pieralessandro Lasalvia, Daniel Narino Gonzalez
{"title":"Postictal neurogenic pulmonary edema: Case report and brief literature review","authors":"Oscar Mauricio Romero Osorio, Juan Felipe Abaunza Camacho, Diana Sandoval Briceño, Pieralessandro Lasalvia, Daniel Narino Gonzalez","doi":"10.1016/j.ebcr.2017.09.003","DOIUrl":"10.1016/j.ebcr.2017.09.003","url":null,"abstract":"<div><p>Cardiopulmonary complications associated with epilepsy are generally associated with generalized tonic–clonic seizures, as a consequence of systemic adrenergic discharge and release of inflammatory mediators. We present a case of a 34-year-old woman with a history of Focal epilepsy since adolescence, who presented self-limited pulmonary edema following a focal to bilateral tonic–clonic seizure with subsequent resolution of the symptoms. We also made a brief review of neurogenic pulmonary edema, its proposed pathophysiology, treatment and its relation with sudden unexpected death in epilepsy (SUDEP).</p></div>","PeriodicalId":56365,"journal":{"name":"Epilepsy and Behavior Case Reports","volume":"9 ","pages":"Pages 49-50"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ebcr.2017.09.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36041874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}