The authors present the results of examining 138 patients whose disease could be classed with the so-called "diencephalic epilepsy" proceeding from the structure of the paroxysmal vegetovisceral manifestations, the degree of the neuroendocrinal syndromes, the complicate scope of the organic and functional anomalies, and hydrocephalus of the IIId ventricle. Stereoelectroencephalographic examinations made in the course of spontaneous vegetovisceral and polymorph seizures have shown that the aura correlates with the reaction of desynchronization in the deep and cortical structures of the brain; the specific manifestations of the seizures are combined with epileptic discharges in the limbic and neocortical structures and absence of the discharges in the thalamus and hypothalamus. It has been shown that the limbic system, the neocortical and truncal divisions of the brain take part in the structural and functional organization of the vegetovisceral paroxysms. It is supposed that the hypothalamus plays a non-specific role in the realization of the vegetovisceral paroxysms. On the basis of recognizing the system organization of epileptic process the authors cast doubt on the term "diencephalic epilepsy".
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Cardiol J
January 2011
Division of Cardiology, Section of Electrophysiology, Department of Medicine, Health Sciences Campus, University of Toledo Medical Center, Toledo, OH, USA.
Background: Autonomic dysregulation (also called diencephalic epilepsy) has been reported following traumatic brain injuries (TBI). However, until now, postural tachycardia syndrome (POTS) has not been reported as a long-term complication in patients who have suffered a TBI. We report on a series of patients who developed POTS after suffering TBI.
View Article and Find Full Text PDFNeurology
January 2001
Department of Neurology, Mayo Clinic, Rochester, MN, USA.
A 62-year-old woman presented with episodic sweating and shivering with reduced core temperature. Brain MRI demonstrated a basal forebrain malformation. Physiologic testing included EEG, SPECT, heat challenge, and autonomic testing.
View Article and Find Full Text PDFMedicine (Baltimore)
September 1995
Division of Endocrinology and Metabolism, University of Michigan Medical Center, Ann Arbor 48109-0028, USA.
Spontaneous periodic hypothermia is a rare syndrome of recurrent, centrally mediated hypothermia without an identifiable systemic cause or brain lesion. Most patients defend a temporarily lowered temperature "set point" during episodes of hypothermia, despite manifesting many well-known systemic consequences of core temperature hypothermia. No case of death directly attributable to an episode of spontaneous periodic hypothermia has been reported, although many of the serious systemic effects of hypothermia have been documented in these cases, so it is not unlikely that death may occur.
View Article and Find Full Text PDFJ Med Assoc Thai
June 1995
Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
A 31 year old hypertensive patient suffered from a fluctuation of blood pressure. Pheochromocytoma was suspected because of the clinical history, and extremely labile blood pressure but did not respond to therapy with alpha adrenergic blocking agent and normal excretion rates of catecholamine and vanilly mandelic acid (VMA). An enlarged left adrenal gland from computerized tomographic scan was found.
View Article and Find Full Text PDFChilds Nerv Syst
August 1988
Service de Neurologie, Hôpital Général, Dijon, France.
The authors report the case of a 2-year-old infant who presented with paroxysm and short changes characterized by acute drowsiness, cold sweats, ocular reversion, facial cyanosis, and bradycardia. Between these attacks, the condition was normal, suggesting diencephalic seizures. Over 2 months five fits were observed by the parents when some to-and-fro bobbing of the head onto the trunk appeared during drowsiness.
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