First seizure: EEG and neuroimaging following an epileptic seizure.

Abstract:

:An early EEG (within 48 h) and high-resolution magnetic resonance imaging (hr_MRI) are the methods of choice for an accurate diagnosis after a first seizure presentation. Together with a careful history and examination, they will allow definition of the epilepsy syndrome in two-thirds of patients and help assess the individual risk for seizure recurrence, which is determined by the specific syndrome and is highest with focal epileptiform activity on EEG. Despite the heterogeneity of first seizure studies, EEG and etiology are consistently found to be the best predictors for seizure recurrence and prognosis. The additional yield of sleep-deprived EEG and sleep EEG is uncertain; yet MRI is essential for detecting brain tumors and other structural bases for new epilepsy. The rate occurrence of remote symptomatic seizures increases significantly with age and the most common etiology in the elderly with a first seizure is stroke; however, its exact relevance to epileptogenicity is yet to be defined. There is a striking lack of systematic studies using early EEG and hr_MRI in order to better characterize epileptogenic areas and elucidate the mechanisms of seizure provocation.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Pohlmann-Eden B,Newton M

doi

10.1111/j.1528-1167.2008.01445.x

subject

Has Abstract

pub_date

2008-01-01 00:00:00

pages

19-25

eissn

0013-9580

issn

1528-1167

pii

EPI1445

journal_volume

49 Suppl 1

pub_type

杂志文章,评审
  • Low-pressure hydrocephalic state complicating hemispherectomy: a case report.

    abstract:UNLABELLED:Low-pressure hydrocephalic state (LPHS) has only recently been described as a distinct clinical entity occurring in patients with bioatrophic lesions of the brain. We report a patient in whom this syndrome developed after subtotal hemispherectomy for intractable epilepsy. METHODS:A 30-year-old man developed...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1046/j.1528-1157.2002.46101.x

    authors: Daniel RT,Lee GY,Halcrow SJ

    更新日期:2002-05-01 00:00:00

  • Estrogen treatment protects GABA(B) inhibition in the dentate gyrus of female rats after kainic acid-induced status epilepticus.

    abstract:PURPOSE:We used the paired-pulse inhibition paradigm to determine whether the cell loss in the hilus of the dentate gyrus of female rats after kainic acid (KA)-induced status epilepticus (SE) is associated with functional changes in the dentate gyrus. Additionally, we determined whether the lost function could be prese...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1046/j.1528-1157.43.s.5.3.x

    authors: Velísek L,Velísková J

    更新日期:2002-01-01 00:00:00

  • Length of stay for patients undergoing invasive electrode monitoring with stereoelectroencephalography and subdural grids correlates positively with increased institutional profitability.

    abstract:OBJECTIVE:Lowering the length of stay (LOS) is thought to potentially decrease hospital costs and is a metric commonly used to manage capacity. Patients with epilepsy undergoing intracranial electrode monitoring may have longer LOS because the time to seizure is difficult to predict or control. This study investigates ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13737

    authors: Chan AY,Kharrat S,Lundeen K,Mnatsakanyan L,Sazgar M,Sen-Gupta I,Lin JJ,Hsu FPK,Vadera S

    更新日期:2017-06-01 00:00:00

  • Cerebral and cerebellar volume reduction in children with intractable epilepsy.

    abstract:PURPOSE:Adult epilepsy studies have demonstrated cerebral and cerebellar volume reduction beyond the epileptogenic zone, correlating this with an inferior surgical outcome. We determined whether brain volumes were reduced in childhood epilepsy and the significance of this. METHODS:Cerebral, cerebellar, and hippocampal...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.2000.tb00122.x

    authors: Lawson JA,Vogrin S,Bleasel AF,Cook MJ,Bye AM

    更新日期:2000-11-01 00:00:00

  • Synergism between topiramate and budipine in refractory status epilepticus in the rat.

    abstract:PURPOSE:To evaluate the antiepileptic and neuroprotective properties of topiramate (TPM) alone and with coadministration of the N-methyl-D-aspartate (NMDA)-receptor antagonist budipine in a rat model of refractory status epilepticus. METHODS:Male Sprague-Dawley rats had electrodes implanted into the perforant path and...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.0013-9580.2004.26404.x

    authors: Fisher A,Wang X,Cock HR,Thom M,Patsalos PN,Walker MC

    更新日期:2004-11-01 00:00:00

  • Lafora's disease in south India: a clinical, electrophysiologic, and pathologic study.

    abstract::Twenty-one cases (12 males, 9 females) of Lafora's disease in 16 families were studied at the National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, India, from 1982 to 1990. Mean age of onset was 13.5 years (range 9.5-18 years). First symptom was generalized tonic-clonic seizure (17), myoclonus ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1993.tb02588.x

    authors: Acharya JN,Satishchandra P,Asha T,Shankar SK

    更新日期:1993-05-01 00:00:00

  • The burden of decisional uncertainty in the treatment of status epilepticus.

    abstract:OBJECTIVE:Treatments for convulsive status epilepticus (SE) have a wide range of effectiveness. The estimated effectiveness of non-intravenous benzodiazepines (non-IV BZDs) ranges from approximately 70% to 90% and the estimated effectiveness of non-benzodiazepine antiseizure medications (non-BZD ASMs) ranges from appro...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.16646

    authors: Sánchez Fernández I,Gaínza-Lein M,Barcia Aguilar C,Amengual-Gual M,Loddenkemper T

    更新日期:2020-10-01 00:00:00

  • Electrocardiographic changes at the onset of epileptic seizures.

    abstract:PURPOSE:We studied heart-rate (HR) changes at the transition from the preictal to the ictal state in patients with focal epilepsies to gain some insight into the mechanisms involved in the neuronal regulation of cardiovascular function. METHODS:We assessed ECG changes during 145 seizures recorded with scalp EEG in 58 ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1046/j.1528-1157.2003.34702.x

    authors: Leutmezer F,Schernthaner C,Lurger S,Pötzelberger K,Baumgartner C

    更新日期:2003-03-01 00:00:00

  • Identifying the epileptogenic zone in interictal resting-state MEG source-space networks.

    abstract:OBJECTIVE:In one third of patients, seizures remain after epilepsy surgery, meaning that improved preoperative evaluation methods are needed to identify the epileptogenic zone. A potential framework for such a method is network theory, as it can be applied to noninvasive recordings, even in the absence of epileptiform ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13622

    authors: Nissen IA,Stam CJ,Reijneveld JC,van Straaten IE,Hendriks EJ,Baayen JC,De Witt Hamer PC,Idema S,Hillebrand A

    更新日期:2017-01-01 00:00:00

  • MDR1 gene expression in brain of patients with medically intractable epilepsy.

    abstract::Why some patients with seizures are successfully treated with antiepileptic drugs (AEDs) and others prove medically intractable is not known. Inadequate intraparenchymal drug concentration is a possible mechanism of resistance to AEDs. The multiple drug resistance gene (MDR1) encodes P-glycoprotein, an energy-dependen...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1995.tb01657.x

    authors: Tishler DM,Weinberg KI,Hinton DR,Barbaro N,Annett GM,Raffel C

    更新日期:1995-01-01 00:00:00

  • ILAE official report: a practical clinical definition of epilepsy.

    abstract::Epilepsy was defined conceptually in 2005 as a disorder of the brain characterized by an enduring predisposition to generate epileptic seizures. This definition is usually practically applied as having two unprovoked seizures >24 h apart. The International League Against Epilepsy (ILAE) accepted recommendations of a t...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/epi.12550

    authors: Fisher RS,Acevedo C,Arzimanoglou A,Bogacz A,Cross JH,Elger CE,Engel J Jr,Forsgren L,French JA,Glynn M,Hesdorffer DC,Lee BI,Mathern GW,Moshé SL,Perucca E,Scheffer IE,Tomson T,Watanabe M,Wiebe S

    更新日期:2014-04-01 00:00:00

  • The BOLD effect of interictal spike activity in childhood occipital lobe epilepsy.

    abstract:PURPOSE:Occipital lobe epilepsy (OLE) presents in childhood with different manifestations, age of onset and EEG features that form distinct syndromes. The ictal clinical symptoms are difficult to correlate with onset in particular areas in the occipital lobes, and the EEG recordings have not been able to overcome this ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2006.00626.x

    authors: Leal A,Dias A,Vieira JP,Secca M,Jordão C

    更新日期:2006-09-01 00:00:00

  • Anticonvulsant effect of flutamide on seizures induced by pentylenetetrazole: involvement of benzodiazepine receptors.

    abstract:PURPOSE:There is some structural similarity between the androgen receptor antagonist, flutamide (Flut) and benzodiazepines (BZDs). We evaluated the possible anticonvulsant effect and interaction of Flut with BZD receptors in common seizure models. METHODS:(a) Different groups of mice each were pretreated i.p. with Flu...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1046/j.1528-1157.2003.36402.x

    authors: Ahmadiani A,Mandgary A,Sayyah M

    更新日期:2003-05-01 00:00:00

  • Health care expenditures among elderly patients with epilepsy in the United States.

    abstract:OBJECTIVE:The purpose of this study was to evaluate health care expenditures among elderly patients with epilepsy in the United States. METHODS:We performed an analysis of weighted 37 738 607 US participants aged 65 years to estimate health care expenditures in the elderly with and without epilepsy using the Medical E...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.14455

    authors: Lekoubou A,Bishu KG,Ovbiagele B

    更新日期:2018-07-01 00:00:00

  • Trends in pediatric epilepsy surgery in Europe between 2008 and 2015: Country-, center-, and age-specific variation.

    abstract:OBJECTIVE:To profile European trends in pediatric epilepsy surgery (<16 years of age) between 2008 and 2015. METHODS:We collected information on volumes and types of surgery, pathology, and seizure outcome from 20 recognized epilepsy surgery reference centers in 10 European countries. RESULTS:We analyzed retrospectiv...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.16414

    authors: Barba C,Cross JH,Braun K,Cossu M,Klotz KA,De Masi S,Perez Jiménez MA,Gaily E,Specchio N,Cabral P,Toulouse J,Dimova P,Battaglia D,Freri E,Consales A,Cesaroni E,Tarta-Arsene O,Gil-Nagel A,Mindruta I,Di Gennaro G,Giu

    更新日期:2020-02-01 00:00:00

  • An epidemiological study of children with status epilepticus in Okayama, Japan.

    abstract:BACKGROUND:The incidence of status epilepticus (SE) in Asian children, including Japanese, has not been reported. METHODS:In 2003, we performed an epidemiological study of SE on Japanese children (31 days or older to <15 years of age) in Okayama City by ascertaining all lifetime first episodes of SE. RESULTS:Thirty-s...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2007.01106.x

    authors: Nishiyama I,Ohtsuka Y,Tsuda T,Inoue H,Kunitomi T,Shiraga H,Kimura T,Fujimoto K

    更新日期:2007-06-01 00:00:00

  • Activation of the locus coeruleus after amygdaloid kindling.

    abstract:PURPOSE:Substantia nigra (SN) and locus coeruleus (LC) neurons are implicated in the propagation and suppression of amygdaloid seizures. Both structures are activated concomitant with amygdaloid seizure discharges. Their mechanisms of activation, however, remain to be elucidated. SN firing is not associated with the in...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1998.tb01323.x

    authors: Silveira DC,Liu Z,de LaCalle S,Lu J,Klein P,Holmes GL,Herzog AG

    更新日期:1998-12-01 00:00:00

  • Nonconvulsive status epilepticus: high incidence of complex partial status.

    abstract::Nonconvulsive status epilepticus may be subdivided into generalized (absence) status and complex partial status. The latter is regarded as a rarity, whereas the former constitutes the dominant part of the hitherto reported cases. We report 10 consecutive cases of adult patients with nonconvulsive status epilepticus, a...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1986.tb03540.x

    authors: Tomson T,Svanborg E,Wedlund JE

    更新日期:1986-05-01 00:00:00

  • Systematic testing of medical intractability for carbamazepine, phenytoin, and phenobarbital or primidone in monotherapy for patients considered for epilepsy surgery.

    abstract:PURPOSE:To assess medical intractability in patients considered for restrictive epilepsy surgery. METHODS:Seventy-four patients received single drug treatment with carbamazepine (CBZ), phenytoin (PHT), and either phenobarbital (PB) or primidone (PRM). Medical intractability was established if seizure control was not o...

    journal_title:Epilepsia

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1528-1157.1996.tb00632.x

    authors: Hermanns G,Noachtar S,Tuxhorn I,Holthausen H,Ebner A,Wolf P

    更新日期:1996-07-01 00:00:00

  • Hippocampal melatonin receptors modulate seizure threshold.

    abstract:PURPOSE:The pineal hormone melatonin has been shown to enhance hippocampal excitability. We therefore investigated whether inactivation of hippocampal melatonin receptors affects behavioral seizures. METHODS:Intrahippocampal infusions were performed in rats to study the effect of different melatonin receptor antagonis...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.0013-9580.2005.30204.x

    authors: Stewart LS,Leung LS

    更新日期:2005-04-01 00:00:00

  • Amygdala kindling of forebrain seizures and the occurrence of brainstem seizures in genetically epilepsy-prone rats.

    abstract::Forebrain seizures were kindled in rats by daily electrical stimulation of the amygdala. Genetically epilepsy-prone rats scoring 9 (GEPR-9s) on the seizure severity scale during audiogenic seizure (AGS) screening ("brainstem seizure-experienced") required fewer stimulations to achieve fully kindled seizures (forelimb ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1996.tb00011.x

    authors: Coffey LL,Reith ME,Chen NH,Mishra PK,Jobe PC

    更新日期:1996-02-01 00:00:00

  • Analysis of a quantitative trait locus for seizure susceptibility in mice using bacterial artificial chromosome-mediated gene transfer.

    abstract:PURPOSE:Previous quantitative trait loci (QTL) mapping studies from our laboratory identified a 6.6 Mb segment of distal chromosome 1 that contains a gene (or genes) having a strong influence on the difference in seizure susceptibility between C57BL/6 (B6) and DBA/2 (D2) mice. A gene transfer strategy involving a bacte...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2007.01126.x

    authors: Ferraro TN,Golden GT,Dahl JP,Smith GG,Schwebel CL,MacDonald R,Lohoff FW,Berrettini WH,Buono RJ

    更新日期:2007-09-01 00:00:00

  • Temporal lobe epilepsy in children: etiology in a cohort with new-onset seizures.

    abstract:PURPOSE:The aim of this study was to characterize the incidence and etiology of temporal lobe epilepsy (TLE) in a community-based cohort of children with new-onset disease. METHODS:A community-based cohort of 30 children with TLE was studied. The patients had new-onset disease before age 14 years between 1995 and 1999...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1046/j.1528-1157.2002.24201.x

    authors: Sztriha L,Gururaj AK,Bener A,Nork M

    更新日期:2002-01-01 00:00:00

  • Potentiation of the antiepileptic activity of phenobarbital by nicotinamide.

    abstract::Nicotinamide is a ligand of the benzodiazepine receptor and has been reported to have anticonvulsant activity. In addition, our previous clinical experience has raised the possibility that it may also potentiate the action of barbiturates. Therefore, we have examined the anticonvulsant activity and neurotoxicity of ni...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1983.tb04885.x

    authors: Bourgeois BF,Dodson WE,Ferrendelli JA

    更新日期:1983-04-01 00:00:00

  • The methylation hypothesis of pharmacoresistance in epilepsy.

    abstract::Seizures cannot be medically controlled in approximately 40% of people with epilepsy. Although we are beginning to understand how to better treat certain seizure types, we still do not know the regulatory events that determine antiepileptic drug resistance. Proposed pathoetiologic mechanisms include altered expression...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/epi.12183

    authors: Kobow K,El-Osta A,Blümcke I

    更新日期:2013-05-01 00:00:00

  • Role of comorbidities in outcome prediction after status epilepticus.

    abstract::Status epilepticus (SE) is associated with significant mortality and morbidity. A reliable prognosis may help better manage medical resources and treatment strategies. We examined the role of preexisting comorbidities on the outcome of patients with SE, an aspect that has received little attention to date. We prospect...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2012.03451.x

    authors: Alvarez V,Januel JM,Burnand B,Rossetti AO

    更新日期:2012-05-01 00:00:00

  • Hippocampal sclerosis and a second focal lesion--how often is it ipsilateral?

    abstract:PURPOSE:Hippocampal sclerosis (HS) is the most common pathologic finding in intractable temporal lobe epilepsy (TLE). In many patients, HS is accompanied by an extrahippocampal lesion (EHL). We sought to assess the lobar distribution and side of EHLs in relation to HS in a large consecutive series of patients presentin...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2011.03021.x

    authors: Hofman PA,Fitt G,Mitchell LA,Jackson GD

    更新日期:2011-04-01 00:00:00

  • Amygdala kindling in the classical conditioning paradigm.

    abstract::The hypothesis was tested that epileptiform alterations of brain excitability may be elicited by a conditioning stimulus (CS) in a classical conditioning paradigm. Fifteen male albino rats were chronically implanted with electrodes in the amygdala and over the visual cortex. A train of six stroboscopic flashes served ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1983.tb04890.x

    authors: Myslobodsky MS,Mintz M,Lerner T,Mostofsky DI

    更新日期:1983-06-01 00:00:00

  • Seizure generation: the role of nodes and networks.

    abstract::The longstanding dichotomy between the concepts of "focal" and "primary generalized" epilepsy has become increasingly blurred, raising fundamental questions about the nature of ictal onset in localized brain regions versus large-scale brain networks. We hypothesize that whether an EEG discharge appears focal or genera...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2012.03560.x

    authors: Terry JR,Benjamin O,Richardson MP

    更新日期:2012-09-01 00:00:00

  • Dilemmas in the interpretation of diagnostic accuracy studies on presurgical workup for epilepsy surgery.

    abstract::We conducted a systematic review to determine which noninvasive technologies should be used in the workup for epilepsy surgery to identify structural or functional abnormalities to help locate the site of seizure onset. The review focused on patients where there was insufficient confidence, in either the decision to g...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1167.2012.03534.x

    authors: Burch J,Marson A,Beyer F,Soares M,Hinde S,Wieshmann U,Woolacott N

    更新日期:2012-08-01 00:00:00