Factors associated with seizure-related motor vehicle accidents among patients with epilepsy in West China

Epilepsy is characterized by unpredictable seizures [1]. Loss of consciousness during seizures may influence the driving ability of patients with epilepsy (PWE) and result in motor vehicle accidents (MVA) [2]. In China, PWE have been forbidden from driving motor vehicles since 1988, according to the Regulations of the People’s Republic of China on Road Traffic [3]. Provisions on the Application for and Use of Driving Licenses, which took effect in 2004, ban all PWE from obtaining a driver’s license [4].

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Gene mutational analysis in a cohort of Chinese children with unexplained epilepsy:identification of a new KCND3 phenotype and novel genes causing Dravet syndrome

Epilepsy is one of the most common pediatric neurologic disorders, with an incidence of 7/10,000 per year before the age of two (1). The etiology of epilepsy is diverse and complex, and genetic factors play an important role. Many genes have been associated with epilepsy, such as ion channel genes, genes related to transmitter trafficking, and genes associated with cell connections (2). Clarifying the genetic background of epilepsy is very important for its diagnosis, treatment, and prognosis. Importantly, it also ...

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Diagnostic Usefulness of Arterial Spin Labeling in MR Negative Children with New Onset Seizures

Epilepsy is the most frequent and chronic neurologic disorder and carries risks of significant morbidity and mortality. Despite the introduction of new antiepileptic drugs, one-third of patients suffer from drug resistant epilepsy [1]. In these patients, especially those with focal epilepsy, surgical treatment aiming to remove the seizure focus may represent the only available option for becoming seizure free. If the magnetic resonance (MR) result does not reveal structural abnormalities, identifying the epileptogenic zone is more challenging in these patients ...

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Sudden cardiac death in a patient with LGI1 antibody-associated encephalitis

Anti-leucine-rich glioma-inactivated 1 limbic encephalitis (LGI1-LE) is one of the clinical syndromes associated with antibodies to voltage-gated potassium channels (VGKCs) [1]. In addition to the common LE symptoms such as cognitive impairment, psychiatric disturbances and seizures, patients with LGI1-LE manifest hyponatremia, and faciobrachial dystonic seizures (FBDS) in about 50% of cases. MRI abnormalities usually involve the medial temporal lobe and basal ganglia. LE typically affects middle-aged patients with a 2:1 male to female ratio and is rarely associated with cancer ...

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Surgical techniques: Stereoelectroencephalography-guided radiofrequency-thermocoagulation (SEEG-guided RF-TC)

Stereotactic neurosurgery was initially developed in the second half of the XXth century as a solution to the high morbidity of invasive open surgery [1]. Historically, in epilepsy surgery stereotactic procedures were mainly used to localize the seizure onset zones through the recording of intracranial-EEG by stereoelectroencephalography (SEEG) [2]. More recently, following the growing accuracy of the delineation of the seizure onset zone and epileptic networks, the surgical management of drug-resistant epileptic patients faced new challenges [3–5].

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Different types of suppression-burst patterns in patients with epilepsy of infancy with migrating focal seizures (EIMFS)

In rare cases, patients with epilepsy of infancy with migrating focal seizures (EIMFS) exhibit suppression-burst (SB) patterns on electroencephalography (EEG), similar to the findings observed for patients with Ohtahara syndrome and early myoclonic encephalopathy. In this report, we discuss six cases of EIMFS in which patients exhibited two types of SB patterns.

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Sleep disturbances in patients with psychogenic non-epileptic seizures: Is it all subjective? A prospective pilot study of sleep-wake patterns

Poor sleep is a frequent complaint of patients with psychogenic non-epileptic seizures (PNES). Our group has recently reported that PNES subjects more frequently complained of poor sleep patterns relative to those with epilepsy [1], however the study was limited by use of a single item from the Beck Depression Inventory to assess changes in sleep patterns. Currently, little is known about the pattern and cause of sleep problems in PNES. One prior study investigated sleep architecture of 8 PNES and ...

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Co-medication and potential drug interactions among patients with epilepsy

Management of epilepsy usually involves the long-term use of antiepileptic drugs (AEDs) and a substantial percentage of patients require polytherapy to control their seizures [1]. The use of multiple AEDs poses a risk of drug interactions including enzyme induction or inhibition, alterations in protein-binding and expression of transporter proteins [2]. It may result in decreased efficacy or increased toxicity of AEDs. The use of some older AEDs (e.g. carbamazepine or phenytoin), known as potent hepatic enzyme-inducers is a major source ...

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