Psychogenic nonepileptic "seizures" or "attacks"? It's not just semantics: attacks.

Since the phrase "psychogenic nonepileptic seizures" has been the term of choice, it has become clear that the word "seizure" here creates confusion. Beyond theoretical arguments, the confusion it creates is detrimental to patients' and families' understanding of the diagnosis, which in turn has a negative impact on treatment.

Essential oils as a cause of breakthrough seizure after temporal lobectomy.

Breakthrough seizures are often encountered in patients with well-controlled epilepsy for no obvious reason. We report a case of a breakthrough seizure after temporal lobectomy secondary to topical administration of essential oils. We recommend inquiring about the use of essential oils in patients with well-controlled epilepsy who experience breakthrough seizures.

Epilepsy surgery after age 60.

Data from seven patients 60 years of age and older who underwent temporal lobectomy were reviewed. Outcome was comparable to younger patients. Despite the small number of patients and retrospective nature of the study, the data support the efficacy and safety of temporal lobectomy in this age group.

The association between time of birth and fetal injury resulting in death.

Objective: In obstetrics, the care of patients in labor or with emergencies takes place day and night. Birth-related injury is among the worst of obstetric outcomes. This study sought to examine the relationship between time of birth and fetal injury resulting in death.

Clot lysis for thrombosed central venous catheters in pediatric patients.

Central venous catheters (CVC) in pediatric patients provide a reliable method for administration of total parenteral nutrition and chemotherapy. Catheter thrombotic occlusion is a major complication and, until recently, the only therapeutic option was removal and surgical replacement of the catheter. Two fibrinolytic agents, streptokinase and urokinase, have been used successfully in adults to dissolve the clots.