A young woman with nonthymomic myasthenia gravis with failure of medical treatment was offered thymectomy through partial sternotomy. Shifting of vertical arm of "L" incision laterally avoids fracture of opposite sternal flange and provides better sternal stability postoperatively.

Background: Serum prolactin level has been used as an alternative determinant to help differentiate epileptic from non-epileptic seizures. We aimed to analyze the association between serum prolactin concentration and epileptic seizure versus febrile seizure as well as seizure duration, single versus multiple seizure attacks and time lapse between seizure onset and blood sampling. Methods: Seven...

abstract background: the efficacy of anticonvulsants after a first seizure is uncertain the more predictable the time and the type of recunent seizure, the more preventable the probable events. this study was conducted to evaluate sirnilmity of type and time of a first seizure and its recuttence in children. methods: 174 children with at least two separate seizures were taken into account. resu...

BACKGROUND: Incidence of epilepsy in elderly patients is higher than in any other group. The diagnosis of epilepsy in old age is particularly challenging and is often overlooked or missed. Selection of appropriate antiepileptic drugs (AEDs) for this group of patient also requires more attention than younger patients. OBJECTIVE: To summarise the clinical presentation, aetiology, diagnosis, treat...