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Neonatal Hyperekplexia: Is It Still a Diagnostic Challenge? Evidence From a Systematic Review.
J Child Neurol
October 2024
Department of Educational Science, University of Catania, Catania, Italy.
Hyperekplexia is a neurologic disorder characterized by an exaggerated startle reflex in response to different types of stimuli. Hyperekplexia is defined by the triad of neonatal hypertonia, excessive startle reflexes, and generalized stiffness following the startle. Although uncommon, hyperekplexia can lead to serious consequences such as falls, brain injury, or sudden infant death syndrome.
View Article and Find Full Text PDFPost Cochlear Implantation Vertigo: Ictal Nystagmus and Audiovestibular Test Characteristics.
Otol Neurotol
January 2024
NextSense, Gladesville.
Article Synopsis
- The study aimed to analyze nystagmus and balance characteristics in patients experiencing vertigo after cochlear implantation.
- Twenty-one patients were recruited for both retrospective and prospective examinations, involving video recordings during vertigo attacks and vestibular function tests.
- Main findings included high-velocity nystagmus linked to vertigo, with a significant portion diagnosed with conditions like secondary endolymphatic hydrops and Ménière's disease, indicating potential underlying vestibular issues after cochlear implantation.
Specific profiles of new-onset vs. non-inaugural status epilepticus: From diagnosis to 1-year outcome.
Front Neurol
February 2023
Neurology Department, Toulouse University Hospital, Toulouse, France.
While new-onset status epilepticus (NOSE) is a harbinger of chronic epilepsy, prospective medical data are sparse in terms of specifying whether the evolution of status epilepticus (SE) and seizure expression in NOSE resembles what occurs in patients who have already been diagnosed with epilepsy [non-inaugural SE (NISE)] in all aspects apart from its inaugural nature. The aim of this study was to compare the clinical, MRI, and EEG features that could distinguish NOSE from NISE. We conducted a prospective monocentric study in which all patients ≥18 years admitted for SE over a 6-month period were included.
View Article and Find Full Text PDFNew-onset non-lesional aphasic status epilepticus. Clinical description, diagnostic clues, and treatment algorithm.
Acta Neurol Scand
May 2022
Neurology Service, Epilepsy Unit, Hospital Universitari de Bellvitge-IDIBELL, Universitat de Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain.
Objectives: De novo aphasic status epilepticus (ASE) in patients without a previous history of epilepsy and without cerebral lesions (aphasic NOSE) is rare. The aim of the study is to describe its clinical characteristics, etiologies, and outcome.
Materials & Methods: Single-center study including consecutive patients presenting to the emergency department between 2011 and 2019 with acute aphasia, which was finally diagnosed as aphasic NOSE.
Epileptic ictal strabismus: a case report and review of the literature.
Epileptic Disord
August 2018
Division of Neurology, Franz Tappeiner Hospital, Merano, Department of Neurology, Christian Doppler Medical Centre, Paracelsus Medical University, Salzburg, Austria.
Ictal strabismus, sometimes associated with epileptic nystagmus, is an extremely rare epileptic phenomenon, suggestive of cortical involvement in monocular eye movement control. We describe a patient with ictal disconjugate contraversive horizontal eye deviation of cortical origin as the main clinical feature of a focal seizure. A 17-year-old, previously healthy woman had a seizure characterized by initial rightward conjugate eye deviation, followed by convergent strabismus due to adduction of the right eye towards the nose without conjugate left eye abduction (esotropia), forced leftward head deviation with impaired awareness, and subsequent evolution into a bilateral tonic-clonic seizure.
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