Download PDF by Richard Appleton; D F Smith: Atlas of epilepsy

By Richard Appleton; D F Smith

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24 Hypothalamic hamartoma. A 17-year-old woman presented with recurrent episodes that had been occurring all of her life. These had previously been diagnosed as being ‘behavioral’. She would have a stereotyped warning that she found difficult to describe, and then laugh uncontrollably for about 15 s. These episodes would occur on a daily basis. She had never had a tonic-clonic seizure. 26 Holoprosencephaly (alobar). 25 Semilobar/alobar holoprosencephaly. A 6-month-old infant with microcephaly, mid-face hypoplasia and myoclonic seizures.

12 Congenital cytomegalovirus (CMV) infection. A 3-month-old infant presented with microcephaly, and myoclonic and tonic seizures due to congenital CMV infection. 14 Hemimegalencephaly. A 9-year-old child with a mild right hemiparesis diagnosed at 13 months of age who then developed partial and rare secondarily generalized tonic-clonic seizures from 20 months of age. 13 Hemimegalencephaly. A 3-week-old infant boy, who presented with drug-resistant intractable seizures, was ‘cured’ by a left hemispherectomy.

The risk of developing epilepsy and its subsequent prognosis depend on the severity of the illness and the age at which infection occurs. 4% if it is not. The apparently higher risk associated with certain organisms is probably due to their occurrence in younger children. 60). 60 Bacterial meningitis. In a 41/2 -year-old girl with right hemiparesis, and partial and secondarily generalized seizures following meningococcal meningitis, axial CTs show infarction of the left hemisphere with consequent ‘atrophy’ and ventricular enlargement; she developed partial and secondarily generalized seizures that responded to a single antiepileptic drug Cerebral abscess Cerebral abscess is virtually always secondary to a suppurative process elsewhere in the body.

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