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Withdrawal seizures vs on-medication seizures:an intracranial EEG recording case report

Acta Epileptologica 2022年第2期5卷 120-125页

作者： Mohamed Khateb Anat Grinfeld Michal Weiler-Sagie Moshe Herskovitz Department of Neurology Rambam Health Care CampusHaifaIsrael Radiology Department Rambam Health Care Campus HaifaIsrael Faculty of Biomedical Engineering Technion-Israel Institute of TechnologyHaifaIsrael Nuclear Medicine Department Rambam Health Care CampusHaifaIsrael Rappaport Faculty of Medicine Technion Institute of TechnologyHaifaIsrael

Background It has long been an interesting question of whether withdrawal seizures in epileptic patients differ from habitual seizures in terms of semiology and *** presentation Here,we addressed this issue in a 40 year-old woman with drug-resistant focal epilepsy monitored by presurgical intracranial *** a part of this routine pre-operative investigation,anti-seizure medications(ASMs)were halted;as a result,multiple withdrawal seizures were recorded before ASM *** 4 days of invasive monitoring,we noticed three different phases in seizure organization:Acute withdrawal seizure(AWS):The first recorded seizure 10h after the implantation;the stabilized withdrawal seizures(SWS):seven habitual seizures recorded from 24h post implantation to readministration of ASMs;and the Non-withdrawal seizures(NWS):ten seizures recorded 24h after readministration of *** and SWS had the same semiology and same epileptic network,but the propagation time from the temporal pole to the para-hippocampal gyrus(PHG)and hippocampus ranged from no latency in AWS to up to 50 s in *** were electrographic seizures,without any apparent clinical *** onset in this type of seizure,as in the first two types,was in the temporal ***,NWS could last up to 3 min without involving the PHG or *** We concluded that in acute withdrawal seizures the propagation time of epileptic activity is significantly reduced without affecting ictal organization network or ***,ASM in this case had a remarkable influence on propagation rather than initiation of epileptic activity.

关键词： Withdrawal seizures Intracranial EEG monitoring anti-seizure medication

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Electroencephalogram and phenotype patterns in neuronopathic Gaucher disease patients-ten years of experience in a single center

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Acta Epileptologica 2024年第3期7卷 215-227页

作者： Xiying Yang Yan Meng Jian Chen Qian Lu Linyan Hu Xiuyu Shi Jing Wang Guang Yang Liping Zou Department of Pediatrics the First Center of General Hospital of the People’s Liberation ArmyFuxing RoadHaidian DistrictBeijing100853No 28China

Background This study aimed to investigate the unique electroencephalography(EEG)patterns in neuronopathic Gaucher disease(GD)patients and explore the correlations between EEG findings and neurological phenotypes so as to optimize clinical *** A retrospective analysis was conducted on 74 EEG recordings from 50 GD patients between January 2012 and July *** Twenty-three patients exhibited abnormal EEG recordings,including 11 of the GD1 type(the transitional type)and 12 with neuronopathic *** the 12 neuronopathic GD patients,9 patients with epilepsy were analysed specifically in terms of the clinical *** primary waveform observed in the neuronopathic EEG recordings was the spike-and-wave complex(SWC)during both awake and sleep *** was significantly different from sharp waves observed only during sleep in the patients of the transitional type(P=0.0230).The abnormal discharges in the neuronopathic patients were most commonly located in the bilateral Rolandic areas,while the transitional type commonly involved the bilateral frontal *** patients with an epileptic EEG pattern reported their initial seizures years *** in the neuronopathic patients were effectively controlled with anti-seizure medications(ASMs),despite the ongoing presence of abnormal EEG *** EEG patterns during ocular symptoms were characterized by sporadic or continuous unilateral SWC during *** Patients with neuronopathic GD exhibit distinct EEG patterns that can help differentiate them from GD1 *** treatment with ASMs can effectively control *** plays a crucial role in monitoring seizures and can facilitate prompt intervention for GD patients.

关键词： Gaucher disease Neuronopathic Electroencephalogram Epilepsy anti-seizure medication Enzyme replacement therapy

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