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Autor Lady Diana Ladino Malagón
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Médica Neuróloga, Hospital Pablo Tobón Uribe
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A unique ictal EEG pattern in a patient with the coexistence of generalized and focal epilepsy / Lady Diana Ladino Malagón
Título : A unique ictal EEG pattern in a patient with the coexistence of generalized and focal epilepsy Tipo de documento : documento electrónico Autores : Lady Diana Ladino Malagón, Fecha de publicación : 2014 Títulos uniformes : Clinical EEG and Neuroscience Idioma : Inglés (eng) Palabras clave : Classification epilepsy surgery idiopathic generalized epilepsy seizures temporal lobe epilepsy Resumen : The coexistence of focal and generalized epilepsy is rare. We report on a 17-year-old male with drug-resistant focal epilepsy and idiopathic generalized epilepsy (IGE). He began to experience generalized tonic-clonic seizures (GTCS) at the age of 3 years, with a good response to phenobarbital. At the age of 14 years, he began to experience complex partial seizures (CPS). Video-electroencephalography (video-EEG) telemetry showed the coexistence of right temporal spikes and bursts of generalized spike-wave (GSW). The ictal EEG showed a unique EEG pattern characterized by a 4- to 5-second burst of GSW followed by rhythmic delta activity over the right temporal region. A magnetic resonance image (MRI) showed right hippocampal sclerosis. The patient underwent a right temporal lobectomy that significantly improved his seizure control. He was rendered seizure free of the complex partial seizures and improvement of the GTCS. This case illustrates a very uncommon ictal EEG pattern, and shows that the decision for surgery in patients with focal drug-resistant epilepsy should not be affected by coexistent generalized epilepsy. Mención de responsabilidad : Lady Diana Ladino, Aaron Gleadow, José F Téllez-Zenteno Referencia : Clin EEG Neurosci. 2015 Apr;46(2):136-41. DOI (Digital Object Identifier) : 10.1177/1550059413516463 PMID : 24615929 En línea : https://journals.sagepub.com/doi/abs/10.1177/1550059413516463?journalCode=eegb Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis A unique ictal EEG pattern in a patient with the coexistence of generalized and focal epilepsy [documento electrónico] / Lady Diana Ladino Malagón, . - 2014.
Obra : Clinical EEG and Neuroscience
Idioma : Inglés (eng)
Palabras clave : Classification epilepsy surgery idiopathic generalized epilepsy seizures temporal lobe epilepsy Resumen : The coexistence of focal and generalized epilepsy is rare. We report on a 17-year-old male with drug-resistant focal epilepsy and idiopathic generalized epilepsy (IGE). He began to experience generalized tonic-clonic seizures (GTCS) at the age of 3 years, with a good response to phenobarbital. At the age of 14 years, he began to experience complex partial seizures (CPS). Video-electroencephalography (video-EEG) telemetry showed the coexistence of right temporal spikes and bursts of generalized spike-wave (GSW). The ictal EEG showed a unique EEG pattern characterized by a 4- to 5-second burst of GSW followed by rhythmic delta activity over the right temporal region. A magnetic resonance image (MRI) showed right hippocampal sclerosis. The patient underwent a right temporal lobectomy that significantly improved his seizure control. He was rendered seizure free of the complex partial seizures and improvement of the GTCS. This case illustrates a very uncommon ictal EEG pattern, and shows that the decision for surgery in patients with focal drug-resistant epilepsy should not be affected by coexistent generalized epilepsy. Mención de responsabilidad : Lady Diana Ladino, Aaron Gleadow, José F Téllez-Zenteno Referencia : Clin EEG Neurosci. 2015 Apr;46(2):136-41. DOI (Digital Object Identifier) : 10.1177/1550059413516463 PMID : 24615929 En línea : https://journals.sagepub.com/doi/abs/10.1177/1550059413516463?journalCode=eegb Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Reserva
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