PURPOSE To estimate the risk of seizures while awake in pure sleep epilepsies - a long follow-up study. METHODS Fifty five patients (60% male), with pure sleep epilepsy were followed up for at least ten years. Patients younger than 18 years of age were excluded. The primary endpoint was the occurrence of seizures while awake, after a period of 10 years or longer suffering from pure sleep seiz...

It is difficult to differentiate between seizures of occipital or temporal lobe origin in patients with focal epileptic seizures associated with visual aura. These are often suspected to originate from the visual cortex, which causes reluctance to propose resection as treatment for the affected patient. To determine the value of localizing different types of visual auras, we report on 20 patien...

Introduction Hypersalivation has been associated with Rolandic epilepsy and other childhood syndromes. However, pure salivatory seizures are a rare type of focal seizure in which ictal hypersalivation is the dominant feature throughout seizures. Case presentation We present case originating from right post-central operculum cortex, confirmed by favorable surgical outcome. attempt to analyze sym...

PURPOSE The prevalence of epilepsy among patients with multiple sclerosis (MS) has been found higher than in the general population. Although cortical pathology may be involved, the causal link between MS and epileptic seizures is still unclear. We aimed to identify and describe the patients with active epilepsy in a previously described population based MS-cohort. METHODS Medical records of ...

Benign childhood focal seizures and related idiopathic epileptic syndromes affect 25% of children with non-febrile seizures and constitute a significant part of the everyday practice of paediatricians, neurologists and electroencephalographers. They comprise three identifiable electroclinical syndromes recognised by the International League against Epilepsy (ILAE)1: rolandic epilepsy which is w...

OBJECTIVE To analyze the electroclinical features and evolution of seven infants with benign infantile focal epilepsy with midline spikes and waves during sleep (BIMSE). MATERIAL AND METHODS Seven patients were examined at our department between February 2003 and February 2009, with onset of seizures between six and 13 months of age (mean, 10.2 months; median, 11 months). Patients with crypto...

Drug resistance is a feature of different forms of epilepsy or epileptic syndromes. It is defined as the persistence of unacceptable seizures despite reasonable pharmacotherapy and drug use to the highest tolerable dosage. It affects between 20% and 30% of patients with epilepsy overall (1). In subgroups of epilepsy patients, a particularly high incidence of drug resistance is encountered (e.g....

Objective: To study the clinical spectrum of seizures and efficacy of anticonvulsive treatment in children. Study Design: A descriptive study. Place and Duration of Study: Military Hospital (MH) Rawalpindi from October 2011 to March 2012. Material and Methods: One hundred children of either gender aged 1 month to 12 years presenting with seizures at Military Hospital Rawalpindi were evaluated a...

BACKGROUND Stroke is the second most common cause of seizures in term neonates and is associated with abnormal long-term neurodevelopmental outcome in some cases. OBJECTIVE To aid diagnosis earlier in the postnatal period, our aim was to describe the characteristic EEG patterns in term neonates with perinatal arterial ischaemic stroke (PAIS) seizures. DESIGN Retrospective observational stud...