RESUMO
We provide an overview of the surgical outcome of extra-hypothalamic epilepsies with gelastic seizures based on an original case report and a summary of the literature. Twenty-two articles providing information on the outcome of resective surgery in 39 patients with extra-hypothalamic gelastic seizures from the temporal (19 patients) or frontal lobe (20 patients) were selected. We add another case of temporal lobe gelastic seizures to the literature with a video demonstrating the mirthful component of this patient's laughing seizures. Drug-refractory cases of gelastic seizures from the temporal or frontal lobes are amenable to surgical treatment following thorough investigation with imaging, as well as scalp and intracranial EEG.
Assuntos
Epilepsias Parciais/cirurgia , Epilepsia do Lobo Frontal/cirurgia , Lobo Frontal/cirurgia , Doenças Hipotalâmicas/cirurgia , Adulto , Eletroencefalografia/métodos , Epilepsias Parciais/diagnóstico , Epilepsia do Lobo Frontal/diagnóstico , Lobo Frontal/diagnóstico por imagem , Humanos , Doenças Hipotalâmicas/diagnóstico , Masculino , Convulsões/cirurgiaRESUMO
OBJECTIVE: Describe the prevalence of HPV genotypes via PCR and DNA sequencing in 397 women who attended to the gynecological outpatient center in the Hospital Regional Docente de Cajamarca from March to September 2017. RESULTS: A positive PCR result for HPV was observed in 121 cervical samples. A high-risk genotype was found in 63.6% (77/121) of patients, a probably oncogenic type in 23.1% (28/121) and a low-risk type in 7.4%. Among the high-risk genotypes, HPV-31 was the most common one present in 20% (21/77), followed by HPV-16 in 11.4% (12/77). Coinfections between two or more genotypes were observed in 12 cases.
