One Hundred Case Studies in Epilepsy PDF
Preview One Hundred Case Studies in Epilepsy
110 P C O E UZZLING ASES F PILEPSY The cover artwork, ‘Barbican Fair’, is the Plymouth Barbican where the Pilgrims departed for New England. The artist, Simon Powell, is an English artist with epilepsy. 110 P C O E UZZLING ASES F PILEPSY Edited by Dieter Schmidt Emeritus Professor of Neurology Free University of Berlin; Managing Editor of Epilepsy Research Epilepsy Research Group Goethestr. 5 D-14163 Berlin Germany Steven C Schachter Medical Director, Office of Clinical Trials and Research; Director of Clinical Research Comprehensive Epilepsy Center Beth Israel Deaconess Medical Center Associate Professor of Neurology Harvard Medical School Boston MA, USA MARTIN DUNITZ © 2002 Martin Dunitz Ltd, a member of the Taylor & Francis group First published in the United Kingdom in 2002 by Martin Dunitz Ltd, The Livery House, 7–9 Pratt Street, London NW1 0AE Tel: +44 (0) 20 7482 2202 Fax: +44 (0) 20 7267 0159 E-mail: [email protected] Website: http://www.dunitz.co.uk This edition published in the Taylor & Francis e-Library, 2003. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior permission of the publisher or in accordance with the provisions of the Copyright, Designs and Patents Act 1988 or under the terms of any licence permitting limited copying issued by the Copyright Licensing Agency, 90 Tottenham Court Road, London, W1P 0LP. A CIP record for this book is available from the British Library. ISBN 0-203-21333-5 Master e-book ISBN ISBN 0-203-27033-9 (Adobe eReader Format) ISBN 1-85317-962-0 (Print Edition) Although every effort has been made to ensure that all owners of copyright material have been acknowledged in this publication, we would be glad to acknowledge in subsequent reprints or edi- tions any omissions brought to our attention. Distributed in the USA by Fulfilment Center Taylor & Francis 7625 Empire Drive Florence, KY 41042, USA Toll Free Tel: +1 800 634 7064 E-mail: cserve@routledge_ny.com Distributed in Canada by Taylor & Francis 74 Rolark Drive Scarborough, Ontario M1R 4G2, Canada Toll Free Tel: +1 877 226 2237 E-mail: [email protected] Distributed in the rest of the world by ITPS Limited Cheriton House North Way Andover, Hampshire SP10 5BE, UK Tel: +44 (0)1264 332424 E-mail: [email protected] Composition by Wearset Ltd, Boldon, Tyne and Wear C ONTENTS Contributors xiii Preface xxiv Dieter Schmidt and Steven C Schachter I Diagnostic puzzles 1 A young woman with mouth jerking provoked by reading 2 Taoufik Alsaadi 2 Jerky eye movements in a 2-year-old boy with epileptic seizures 6 Richard Appleton 3 A patient who would not leave his apartment for hours every three days 10 Jürgen Bauer 4, 5 Two adult patients with infantile spasms 14 Carol S Camfield and Peter R Camfield 6 An infant with partial seizures and infantile spasms 18 Catherine Chiron and Nathalie Villeneuve 7 Epilepsia partialis continua versus non-epileptic seizures 21 Alan B Ettinger 8 Vomiting in an 8-year-old girl with status epilepticus 27 Natalio Fejerman 9 Panic attacks in a woman with frontal lobe epilepsy 30 Thomas Grunwald, Martin Kurthen and Christian E Elger 10 Misdiagnosed epilepsy in a young girl 34 Satish Jain 11 The value of diagnostic persistence 38 Gregory L Krauss 12 Frequent night terrors 42 Cesare T Lombroso v CONTENTS 13 Generalized epilepsy with febrile seizures plus 48 Ingrid E Scheffer 14 A visit to the borderland of neurology and psychiatry 53 Donald L Schomer 15 A case of complex partial status epilepticus 57 Alan R Towne 16 An unusual convulsion at dinner 62 Jing-Jane Tsai 17 A boy with up to 100 partial seizures a day 65 Federico Vigevano, Christa Pachatz and Lucia Fusco 18 Late-onset myoclonic attacks in Down’s syndrome 70 Hajo M Hamer, Jens Carsten Möller, Susanne Knake, Wolfgang H Oertel and Felix Rosenow 19 Fainting, fear and pallor in a 22-month-old girl 74 Edwin Trevathan II Intriguing causes and circumstances 77 20 Abnormal heart rate in a child with West syndrome 78 Julio Ardura and Jesus Andres 21 Hyperactive behaviour and attention deficit in a 7-year-old boy with 81 myoclonic jerks Johan Arends, Albert P Aldenkamp and Biene Weber 22 Seizures with a musical association 86 Tim Betts 23 Temporal lobe epilepsy, loss of episodic memory and depression 89 in a 32-year-old woman Christian G Bien 24 Epileptic ‘dreamy states’ in a young man 93 Warren T Blume 25 Left arm and leg shaking in a patient with a history of treated syphilis 97 Daniel J Brotman and Majid Fotuhi 26 New onset of nocturnal seizures in a 69-year-old man 102 P Barton Duell vi CONTENTS 27 Nonconvulsive status epilepticus and frontal lobe seizures in a 106 patient with a chromosome abnormality Maurizio Elia 28 An unusual cause of nocturnal attacks 110 Donald W Gross, Eva Andermann, David C Reutens, Francois Dubeau and Frederick Andermann 29 Anger and frustration followed by a seizure 113 Sunao Kaneko 30 Myoclonic jerks in a computer specialist 117 Dorotheé GA Kasteleijn-Nolst-Trenité 31, 32 Issues in epilepsy and pregnancy 121 Ronald E Kramer and Kirsten A Bracht 33 Status epilepticus after a long day of white-water rafting in the 126 Grand Canyon David M Labiner 34 A farmer who watched his own seizures 129 Gerhard Luef 35 The borderland of neurology and cardiology 132 Martha J Morrell 36 A man with shoulder twitching 137 Erasmo A Passaro and Ahmad Beydoun 37 Epileptic falls due to the heart 142 Steven C Schachter 38 A young man with noise-induced partial seizures 146 Bettina Schmitz 39 The girl with visual seizures who wasn’t seeing things — 152 transient blindness in a young girl Carl E Stafstrom 40 Syncope in a patient with temporal lobe epilepsy 158 Paolo Tinuper 41 Attacks of rising sensations, pallor and loss of consciousness 162 Torbjörn Tomson 42 Non-convulsive status epileptius in a patient with idiopathic 165 generalized epilepsy Eugen Trinka vii CONTENTS 43 If at first, you don’t succeed . . . 168 Andrew N Wilner 44 Gyratory seizures, ataxia and dysarthria in a young adult 172 Kazuichi Yagi III Surprising turns and twists 175 45 Recurrent amnestic episodes in a 62-year-old diabetic patient 176 Christine Adam, Claude Adam and Michel Baulac 46 Attacks of nausea and palpitations in a woman with epilepsy 180 Jørgen Alving 47 Absence status epilepticus in a 60-year-old woman 186 Gerhard Bauer 48 Hemiplegia in a 76-year-old woman with status epilepticus 191 Christoph Baumgartner 49–51 Persistence pays off 195 Mark Bej 52 Drugs did not work in a little girl with absence seizures 198 David B Bettis 53 ‘Alternative’ therapy for partial epilepsy — with a twist 202 Nadir E Bharucha and Thomas Kuruvilla 54 A 19-year-old man with epilepsy, aphasia and hemangioma of the 206 cranial vault Paolo Rogério M de Bittencourt 55 Severe psychiatric disorder in an 8-year-old boy with myoclonic– 210 astatic seizures Cesare Marie Cornaggia, Alessandra Mascarini and Giuseppe Gobbi 56 A girl with two epilepsy syndromes 215 Marie-José Penniello, Isabelle Jambaqué and Perrine Plouin, Olivier Dulac 57 The obvious cause of seizures may not be the underlying cause 222 Keith Edwards 58 Absence seizures in an adult 225 Edward Faught 59 A case solved by seizures during sleep 229 Jacqueline French viii CONTENTS 60 Alternative psychosis in an adolescent girl? 233 Andres M Kanner 61 Exacerbation of seizures in a young woman 237 Pavel Klein 62 Genetic counseling in a woman with a family history of refractory 241 myoclonic epilepsy Dick Lindhout 63 ‘Funny jerks’ run in the family 245 Heinz-Joachim Meencke 64 Side effects that imitate seizures 247 George Lee Morris III 65 An unusual application of epilepsy surgery 250 Mark Quigg, Edward H Bertram and Jaideep Kapur 66 Epilepsy, migraine and cerebral calcifications 254 Willy O Renier 67 All is not what it seems 259 William Rosenfeld and Susan Lippmann 68 A patient whose epilepsy diagnosis changed three times over 263 twenty years Masakazu Seino and Yushi Inoue 69 If you don’t succeed, investigate 269 Michael R Sperling IV Unforeseen complications and problems 275 70 A 35-year-old man with poor surgical outcome after 276 temporal lobe surgery Gus A Baker 71 When more is less 279 Carl Bazil 72 Change of antiepileptic drug treatment for fear of side effects 283 in a 45-year-old seizure-free patient Elinor Ben-Menachem 73 Personality and mood changes in a teenager 286 Ahmad Beydoun, Ekrem Kutluay and Erasmo Passaro ix
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