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Startle epilepsy associated with infantile hemiplegia (SEIH): video-polygraphic features and long-term outcome.

Identifieur interne : 000376 ( PubMed/Corpus ); précédent : 000375; suivant : 000377

Startle epilepsy associated with infantile hemiplegia (SEIH): video-polygraphic features and long-term outcome.

Auteurs : G. D'Orsi ; V. Demaio ; F. Operto ; G. Auricchio ; M G Minervini ; G. Coppola

Source :

RBID : pubmed:19809941

English descriptors

Abstract

The aim of this study was to investigate the video-polygraphic features and the long-term outcome of epilepsy in two patients with startle epilepsy associated with infantile hemiplegia (SEIH).

DOI: 10.1055/s-0029-1237722
PubMed: 19809941

Links to Exploration step

pubmed:19809941

Le document en format XML

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<title xml:lang="en">Startle epilepsy associated with infantile hemiplegia (SEIH): video-polygraphic features and long-term outcome.</title>
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<name sortKey="D Orsi, G" sort="D Orsi, G" uniqKey="D Orsi G" first="G" last="D'Orsi">G. D'Orsi</name>
<affiliation>
<nlm:affiliation>Epilepsy Center, Neurological Unit, Casa Divina Provvidenza, Opera Don Uva, Bisceglie (BAT), Italy. giudorsi@yahoo.it</nlm:affiliation>
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<name sortKey="Demaio, V" sort="Demaio, V" uniqKey="Demaio V" first="V" last="Demaio">V. Demaio</name>
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<name sortKey="Operto, F" sort="Operto, F" uniqKey="Operto F" first="F" last="Operto">F. Operto</name>
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<name sortKey="Auricchio, G" sort="Auricchio, G" uniqKey="Auricchio G" first="G" last="Auricchio">G. Auricchio</name>
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<name sortKey="Minervini, M G" sort="Minervini, M G" uniqKey="Minervini M" first="M G" last="Minervini">M G Minervini</name>
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<name sortKey="Coppola, G" sort="Coppola, G" uniqKey="Coppola G" first="G" last="Coppola">G. Coppola</name>
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<term>Acoustic Stimulation (adverse effects)</term>
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<term>Electroencephalography (methods)</term>
<term>Epilepsy (complications)</term>
<term>Epilepsy (diagnosis)</term>
<term>Epilepsy (etiology)</term>
<term>Female</term>
<term>Hemiplegia (complications)</term>
<term>Hemiplegia (diagnosis)</term>
<term>Humans</term>
<term>Intellectual Disability (etiology)</term>
<term>Longitudinal Studies</term>
<term>Reflex, Startle (physiology)</term>
<term>Video Recording (methods)</term>
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<term>Epilepsy</term>
<term>Hemiplegia</term>
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<term>Epilepsy</term>
<term>Intellectual Disability</term>
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<term>Electroencephalography</term>
<term>Video Recording</term>
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<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Reflex, Startle</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Adolescent</term>
<term>Female</term>
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<div type="abstract" xml:lang="en">The aim of this study was to investigate the video-polygraphic features and the long-term outcome of epilepsy in two patients with startle epilepsy associated with infantile hemiplegia (SEIH).</div>
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<Day>07</Day>
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<Day>20</Day>
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<ArticleTitle>Startle epilepsy associated with infantile hemiplegia (SEIH): video-polygraphic features and long-term outcome.</ArticleTitle>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The aim of this study was to investigate the video-polygraphic features and the long-term outcome of epilepsy in two patients with startle epilepsy associated with infantile hemiplegia (SEIH).</AbstractText>
<AbstractText Label="MATERIAL AND METHODS" NlmCategory="METHODS">Two patients (patient 1: a 14-year-old girl; patient 2: a 17 year-and-half-year-old girl), with hemiparesis and moderate mental retardation, underwent a full clinical and neurophysiological examination with video-polygraphic monitoring and recording of startle-evoked seizures. The follow-up was 9 years from epilepsy onset in patient 1, and 8 years from epilepsy onset in patient 2.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Firstly, video-polygraphic recordings of startle-evoked seizures, triggered by unexpected auditory stimuli, showed tonic asymmetrical postures with ictal EEG characterized by an abrupt and diffuse electrodecremental pattern or a seizure discharge predominant over the vertex and anterior regions controlateral to the posturing limbs. Electromyogram recording showed a prevalent involvement of proximal muscles with a concomitant tachycardia and apnoea. In particular, in patient 1 ictal heart rate was high, with persisting tachycardia for 60-120 s after the end of seizures. Secondly, a high seizure frequency persisted throughout the course of the disease, as seizures were medically refractory to all currently available anti-epileptic drugs.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The long-term outcome of epilepsy in SEIH, with constantly high seizure frequency, suggests an early surgical intervention, avoiding years with unsuccessful drug treatments and poor quality of life.</AbstractText>
<CopyrightInformation>(c) Georg Thieme Verlag KG Stuttgart, New York.</CopyrightInformation>
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