Sujet(s)
Tumeurs du cerveau/chirurgie , Hémangiopéricytome/chirurgie , Tumeurs du cerveau/imagerie diagnostique , Tumeurs du cerveau/anatomopathologie , Enfant , Association thérapeutique , Épilepsie partielle complexe/étiologie , Femelle , Hémangiopéricytome/imagerie diagnostique , Hémangiopéricytome/anatomopathologie , Humains , Imagerie par résonance magnétique , Troubles de la motricité/étiologie , Procédures de neurochirurgieRÉSUMÉ
We report the case of a patient who presented various psychiatric syndromes at the time of evaluation - partial complex epileptic seizures, personality change, and severe depression, which eventually progressed to dementia - resulting from multiple cerebral infarctions of probable neuro-angiopathic origin, of unknown etiology. Aspects related to depression following cerebrovascular accidents, as well as how cerebrovascular accidents can result in different disorders depending on the variables, are discussed based on the data from current literature.
Sujet(s)
Infarctus cérébral/complications , Démence/étiologie , Dépression/étiologie , Sujet âgé , Hémorragie cérébrale/diagnostic , Infarctus cérébral/diagnostic , Épilepsie partielle complexe/étiologie , Lobe frontal , Humains , Mâle , Lobe pariétal , Troubles de la personnalité/étiologieRÉSUMÉ
We describe a case of non-ketotic hyperglycemia (NKH), heralded by complex partial seizures and aphasia of epileptic origin, besides versive and partial motor seizures. This clinical picture was accompanied by left fronto-temporal spikes in the EEG. The seizures were controlled by carbamazepine only after the control of the diabetes. A month later, carbamazepine was discontinued. The patient remained without seizures, with normal language, using only glybenclamide. Complex partial seizures, opposed to simple partial seizures, are rarely described in association to NKH. Epileptic activity localized over language regions can manifest as aphasia.
Sujet(s)
Aphasie/étiologie , Épilepsie partielle complexe/étiologie , Coma hyperosmolaire hyperglycémique non cétosique/complications , Coma hyperosmolaire hyperglycémique non cétosique/diagnostic , Anticonvulsivants/usage thérapeutique , Carbamazépine/usage thérapeutique , Épilepsie partielle complexe/traitement médicamenteux , Femelle , Glibenclamide/usage thérapeutique , Humains , Coma hyperosmolaire hyperglycémique non cétosique/traitement médicamenteux , Hypoglycémiants/usage thérapeutique , Adulte d'âge moyenRÉSUMÉ
El propósito del presente trabajo es mostrar la asociación de epilepsia parcial compleja con quistes aracnoideos de la fisura coroidea. Examinamos los informes de 71 pacientes portadores de quistes aracnoideos, estudiados por IRM o TAC, 10 fueron quistes de la fisura coroidea. De los 10 pacientes portadores de quistes aracnoideos de la cisura coroidea 5 presentaron antecedentes de epilepsia parcial compleja
Sujet(s)
Humains , Mâle , Femelle , Kystes arachnoïdiens/complications , Épilepsie partielle complexe/étiologie , Kystes arachnoïdiens/diagnostic , Épilepsie partielle complexe/chirurgie , Épilepsie partielle complexe/diagnosticRÉSUMÉ
El propósito del presente trabajo es mostrar la asociación de epilepsia parcial compleja con quistes aracnoideos de la fisura coroidea. Examinamos los informes de 71 pacientes portadores de quistes aracnoideos, estudiados por IRM o TAC, 10 fueron quistes de la fisura coroidea. De los 10 pacientes portadores de quistes aracnoideos de la cisura coroidea 5 presentaron antecedentes de epilepsia parcial compleja (AU)
Sujet(s)
Humains , Mâle , Femelle , Kystes arachnoïdiens/complications , Épilepsie partielle complexe/étiologie , Kystes arachnoïdiens/diagnostic , Épilepsie partielle complexe/chirurgie , Épilepsie partielle complexe/diagnosticRÉSUMÉ
Giant aneurysms have rarely been reported in association with intractable complex partial seizures (CPS). We report a 30-year-old man with intractable CPS since age 18 years. Seizure onset was electrically localized to right temporal lobe. Preoperative neuroimaging studies showed a partially thrombosed giant aneurysm of the right posterior cerebral artery. Selective amygdalohippocampectomy and occlusion of the posterior cerebral artery did not cause deficits. The patient has been seizure-free for 15 months after operation. We review the relevant literature on aneurysms as a cause of epilepsy.
Sujet(s)
Artériopathies cérébrales/complications , Épilepsie partielle complexe/étiologie , Anévrysme intracrânien/complications , Adulte , Angiographie cérébrale , Artériopathies cérébrales/diagnostic , Humains , Anévrysme intracrânien/diagnostic , Imagerie par résonance magnétique , MâleRÉSUMÉ
Case report of a long term diabetic patient with partial motor crisis originating from passive movement of the right arm. This is a rare type of crisis when compared to spontaneous partial crisis in diabetic patients. Partial crises are often the initial manifestation of diabetes mellitus (about 19% of the cases reported). As in those cases registered in the literature, crisis control in this case was obtained by normalization of glycose serum levels. Possible mechanisms involved in the pathogenesis are discussed.