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Distinguishing seizures in autoimmune limbic encephalitis from mesial temporal lobe epilepsy with hippocampal sclerosis: Clues of a temporal plus network.
J Neurol Sci
December 2024
Department of Human Neurosciences, 'Sapienza' University of Rome, 00185 Rome, Italy. Electronic address:
Objective: Diagnosing autoimmune limbic encephalitis (ALE) in adults with new-onset seizures can be challenging, especially when seizures represent the predominant manifestation and MRI findings are not straightforward. By comparison with mesial temporal lobe epilepsy with hippocampal sclerosis (MTLE-HS), this study aimed to identify ictal electro-clinical features that might help clinicians recognize ALE-related seizures.
Methods: This retrospective, multi-centre study analysed the ictal semiology and EEG correlate of 116 video-EEG-captured seizures in 40 ALE patients and 45 ones recorded in 21 MTLE-HS subjects.
Utility of Various Activation Procedures in Provoking Ictal and Interictal Patterns, during Routine Electroencephalogram (rEEG) Recording.
Ann Afr Med
October 2024
Department of Neurology, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Background: Activation procedures (APs) are adopted during routine electroencephalography (rEEG) to provoke interictal epileptiform abnormalities (EAs). This study aimed to observe interictal and ictal (EAs) of different EEG patterns, provoked by various APs.
Methodology: This cross-sectional study was performed in the neurology department of King Fahd hospital of university, Saudi Arabia.
Electroencephalographic compatibility with fitness to drive: A nationwide survey among Swiss neurologists.
Epilepsia Open
December 2024
Department of Neurology, University Hospital Basel, Basel, Switzerland.
Article Synopsis
- The Swiss guidelines for driving with epilepsy require EEG findings to be compatible with fitness to drive (FTD), but they lack specific criteria, prompting a nationwide survey to assess how neurologists apply this in practice.
- In the survey, 102 neurologists reported variances in their assessment of EEG results, notably regarding normal variants and certain pathological patterns, revealing significant disagreement on evaluating FTD.
- The findings highlight the need for more standardized criteria and additional research, as many participants supported the inclusion of EEG results in FTD assessments but noted that follow-up tests like reaction-time evaluations were infrequently conducted.
A Review of Hyperventilation Activation in Diagnosis and Management of Childhood Absence Epilepsy.
J Child Neurol
October 2024
Eysz, Inc, Berkeley, CA, USA.
Childhood absence epilepsy is one of the most prevalent pediatric epilepsy syndromes, but diagnostic delay is common and consequential. Childhood absence epilepsy is diagnosed by history and physical examination including hyperventilation with electroencephalography (EEG) used to confirm the diagnosis. Hyperventilation produces generalized spike-wave discharges on EEG in >90% of patients with childhood absence epilepsy and provokes clinical absence seizures consisting of brief loss of consciousness typically within 90 seconds.
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