Recurrent transient focal neurological deficits in convexity meningioma: TIA or negative motor seizures?
Publication date: January–June 2014 Source:International Journal of Epilepsy, Volume 1, Issue 1 Author(s): Arun Garg , Abdul Muniem , Sushant Bhuyan , Atma Ram Bansal Transient ischemic attack (TIA) is defined as a temporary focal neurological deficit of presumed vascular origin, lasting for less than 1 h, with no evidence of infarct on neuroimaging. If a patient is suffering from multiple cardiovascular risk factors and presents with transient and recurrent focal neurological deficits, the most likely diagnosis considered is TIA. As the possibility of stroke within first 24 h is high, such patients need aggres...
Source: International Journal of Epilepsy - November 4, 2014 Category: Neurology Source Type: research

Proprioceptive-induced seizure in diabetic non-ketotic state: A video case report
Publication date: January–June 2014 Source:International Journal of Epilepsy, Volume 1, Issue 1 Author(s): Salvadeeswaran Meenakshi-Sundaram , Somalinga Nagendran Karthik , Krishnan Swaminathan , Thembavani Rajavel , Amala Dharmapillai , Bharathi Sundar A 63-year-old diabetic gentleman with proprioceptive-induced seizures is reported. Marked hyperglycemia due to discontinuation of anti-diabetic medication was the precipitating cause. Distinctive clinical feature of this case was recurrent focal motor seizures involving the left upper limb precipitated by volitional movements of the same limb and self-aborted by...
Source: International Journal of Epilepsy - November 4, 2014 Category: Neurology Source Type: research

Dietary therapy in childhood epilepsy, an overview
Publication date: January–June 2014 Source:International Journal of Epilepsy, Volume 1, Issue 1 Author(s): Sheffali Gulati , Biswaroop Chakrabarty This review highlights the current consensus guidelines regarding use of dietary therapy in childhood epilepsy. Comprehensive search was done in the electronic database, journals, reference lists and dissertations related to the field. In childhood epilepsy, about one-third patients are medically refractory. Surgical resection is an effective modality only in a third of these cases. Dietary therapy causes upto 30–40% reduction in seizure frequency in drug refractory ep...
Source: International Journal of Epilepsy - November 4, 2014 Category: Neurology Source Type: research

Psychosocial care needs of the parents having children with epilepsy
Conclusion The findings showed that majority of the study subjects received lesser information than they needed about epilepsy and not had much concern about the causes and the complications of epilepsy, but at the same time most of the parents expressed that they need information about the management of children's seizure. (Source: International Journal of Epilepsy)
Source: International Journal of Epilepsy - November 4, 2014 Category: Neurology Source Type: research

Clinical characteristics and factors associated with in hospital mortality of convulsive status epilepticus in adult patients admitted to neurointensive care unit
Conclusion Acute symptomatic etiology was the most common cause of SE in adults. While requirement for mechanical ventilation and refractory SE were the major factors associated with mortality, acute symptomatic etiology increased the risk of mortality in adult patients with SE. (Source: International Journal of Epilepsy)
Source: International Journal of Epilepsy - November 4, 2014 Category: Neurology Source Type: research

Study of quality of life in epilepsy patients with psychiatric co-morbidities using QOLIE-31
Conclusion Co-morbid psychiatric disorders should be identified and documented in PWE and treating these disorders apart from the control of seizures may significantly improve their quality of life. (Source: International Journal of Epilepsy)
Source: International Journal of Epilepsy - November 4, 2014 Category: Neurology Source Type: research

Diffusion tensor imaging correlates of hippocampal sclerosis and anterior temporal lobe T2 signal changes in pharmacoresistant epilepsy
Conclusion The subjects with L-HS had more extensive structural abnormalities involving white matter tracts, both ipsilateral and contralateral. In contrast, subjects with R-HS had limited changes in white matter integrity. Pathology of white matter appears to be involved in deficits associated with HS, including ATC and cognitive performance. (Source: International Journal of Epilepsy)
Source: International Journal of Epilepsy - November 4, 2014 Category: Neurology Source Type: research

From the Editor's desk
Publication date: January–June 2014 Source:International Journal of Epilepsy, Volume 1, Issue 1 Author(s): Man Mohan Mehndiratta (Source: International Journal of Epilepsy)
Source: International Journal of Epilepsy - November 4, 2014 Category: Neurology Source Type: research

A child with global neuroregression with refractory epilepsy
Publication date: Available online 4 July 2014 Source:International Journal of Epilepsy Author(s): Rachana Dubey , Biswaroop Chakrabarty , Sheffali Gulati , Atin Kumar Hypomyelinating disorders have wide spectrum of clinical and radiological manifestations. A 17-month-old girl presented with baseline global developmental delay with insidious onset global neuroregression with refractory seizures from 1 year of age. Her birth and family history were noncontributory. Salient features on examination were central hypotonia and retinal cherry red spot. MRI Brain revealed characteristic white matter and basal ganglia chan...
Source: International Journal of Epilepsy - November 4, 2014 Category: Neurology Source Type: research

Quality of life predictors in patients with epilepsy and cognitive disabilities
Conclusions We have affirmed the low QOL in patients with RE and cognitive problems and its clinical and social determinants. The results from our study prove the necessity of a multidisciplinary approach for quality of life improvement in these patients. (Source: International Journal of Epilepsy)
Source: International Journal of Epilepsy - November 4, 2014 Category: Neurology Source Type: research

Status epilepticus as presenting manifestation of H1N1 infection
Conclusion This case report further expands the spectrum of clinical findings associated with sporadic H1N1 infection. A possibility of H1N1 infection should be considered in all patients who present with GCSE without any obvious cause so that appropriate diagnostic tests and treatment can be carried out at the earliest. (Source: International Journal of Epilepsy)
Source: International Journal of Epilepsy - November 4, 2014 Category: Neurology Source Type: research

Can physical exercise be a coping strategy for psychological stress for patients with psychogenic seizures?
Publication date: Available online 16 August 2014 Source:International Journal of Epilepsy Author(s): Rodrigo Luiz Vancini , Ricardo Mario Arida , Claudio Andre Barbosa de Lira (Source: International Journal of Epilepsy)
Source: International Journal of Epilepsy - November 4, 2014 Category: Neurology Source Type: research

Afebrile seizure in toddlers – Don't forget camphor
We report two children who had afebrile seizures following camphor ingestion. Both the toddlers had afebrile seizure and presented in postictal state. In the first case the child had vomiting in hospital which had camphoraceous odor. Interrogation in both case revealed consumption of camphor few minutes prior to the seizure. Both the kids improved with supportive care. Camphor fits in community go largely unrecognized and parents don't inform about potential camphor ingestion and these children are subjected to unnecessary evaluation and antiepileptic drug exposure. One should create awareness about camphor induced seizure...
Source: International Journal of Epilepsy - November 4, 2014 Category: Neurology Source Type: research

Neonatal seizures and epilepsies
Publication date: Available online 7 October 2014 Source:International Journal of Epilepsy Author(s): Kollencheri Puthenveettil Vinayan , Solomon L. Moshé Neonatal seizure is the most frequent clinical manifestation of central nervous system dysfunction in the newborn. It is defined as a paroxysmal alteration in neurologic function that include motor, behavior and/or autonomic functions occurring in the first 28 days after birth of a term neonate or before 44 weeks of gestational age in a preterm infant. Seizures in the presence of encephalopathy are the most important clinical pattern of an acute cerebral insult in...
Source: International Journal of Epilepsy - November 4, 2014 Category: Neurology Source Type: research