
Puzzling Cases of Epilepsy, Second Edition
By: Steven C. Schachter, Dieter Schmidt
Paperback | 4 September 2008 | Edition Number 2
At a Glance
544 Pages
Revised
22.86 x 15.24 x 2.54
Paperback
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- Presents unique and challenging case vignettes in epilepsy contributed by eminent physicians in the field
- Provides practicing physicians with examples of how baffling cases were handled and solved
- A new section provides a translational perspective, with basic scientists discussing the potential mechanisms underlying original clinical observations, and clinical scientists discussing the clinical implications of experiments in the epilepsy laboratory
| Diagnostic Puzzles and Uncertainties | |
| A Young Woman with Mouth Jerking Provoked by Reading | p. 3 |
| Two Adult Patients with Infantile Spasms | p. 6 |
| An Infant with Partial Seizures and Infantile Spasms | p. 10 |
| Epilepsia Partialis Continua versus Non-Epileptic Seizures | p. 13 |
| Panic Attacks in a Woman with Frontal Lobe Epilepsy | p. 20 |
| Frequent Night Terrors | p. 24 |
| Genetic (Generalized) Epilepsy with Febrile Seizures Plus | p. 29 |
| A Visit to the Borderland of Neurology and Psychiatry | p. 34 |
| A Case of Complex Partial Status Epilepticus | p. 38 |
| Late-Onset Myoclonic Seizures in Down's Syndrome | p. 42 |
| Fainting, Fear, and Pallor in a 22-Month-Old Girl | p. 46 |
| Intriguing Causes and Circumstances | |
| Hyperactive Behavior and Attentional Deficit in a 7-Year-Old Boy with Myoclonic Jerks | p. 51 |
| Temporal Lobe Epilepsy, Loss of Episodic Memory, and Depression in a 32-Year-Old Woman | p. 56 |
| Epileptic "Dreamy States" in a Young Man | p. 61 |
| Nocturnal Seizures in a Man with Coronary Disease | p. 65 |
| Non-convulsive Status Epilepticus and Frontal Lobe Seizures in a Patient with a Chromosome Abnormality | p. 69 |
| An Unusual Cause of Nocturnal Attacks | p. 73 |
| Myoclonic Jerks in a Computer Specialist | p. 76 |
| Their Previous Physicians had Told Them that They Should not Become Pregnant Because They have Epilepsy | p. 80 |
| Status Epilepticus after a Long Day of White-Water Rafting in the Grand Canyon | p. 85 |
| A Farmer Who Watched His Own Seizures | p. 88 |
| The Borderland of Neurology and Cardiology | p. 91 |
| A Man with Shoulder Twitching | p. 95 |
| The Girl with Visual Seizures Who wasn't Seeing Things - Transient Blindness in a Young Girl | p. 100 |
| A Young Man with Noise-Induced Partial Seizures | p. 106 |
| Non-convulsive Status Epilepticus in a Patient with Idiopathic Generalized Epilepsy | p. 112 |
| Pseudohypoglycemia Manifesting as Complex Partial Seizures in a Patient with Type III Glycogen Storage Disease | p. 115 |
| Surprising Turns and Twists | |
| Recurrent Amnestic Episodes in a 62-Year-Old Diabetic Patient | p. 121 |
| Attacks of Nausea and Palpitations in a Woman with Epilepsy | p. 126 |
| Absence Status Epiiepticus in a 60-Year-Old Woman | p. 131 |
| Hemiplegia in a 76-Year-Old Woman with Status Epilepticus | p. 135 |
| Persistence Pays Off | p. 139 |
| Drugs Did Not work in a Little Girl with Absence Seizures | p. 142 |
| "Alternative" Therapy for Partial Epilepsy with a Twist | p. 145 |
| A 19-Year-Old Man with Epilepsy, Aphasia, and Hemangioma of the Cranial Vault | p. 148 |
| Severe Psychiatric Disorder in an 8-Year-Old Boy with Myoclonic-Astatic Seizures | p. 152 |
| A Girl with Two Epilepsy Syndromes | p. 157 |
| The Obvious Cause of Seizures May Not Be the Underlying Cause | p. 163 |
| Absence Seizures in an Adult | p. 165 |
| A Case Solved by Seizures During Sleep | p. 168 |
| Alternative Psychosis in an Adolescent Girl? | p. 171 |
| Exacerbation of Seizures in a Young Woman | p. 174 |
| Genetic Counseling in a Woman with a Family History of Refractory Myoclonic Epilepsy | p. 178 |
| "Funny Jerks" Run in the Family | p. 182 |
| Side Effects That Imitate Seizures | p. 184 |
| Epilepsy, Migraine, and Cerebral Calcifications | p. 187 |
| An Unusual Application of Epilepsy Surgery | p. 191 |
| All is Not What it Seems | p. 194 |
| A Patient Whose Epilepsy Diagnosis Changed Three Times Over 20Years | p. 197 |
| If You Don't Succeed, Investigate | p. 202 |
| Should He or Shouldn't He? Is It Reasonable to Prescribe Carbamazepine after Lamotrigine-induced Stevens-Johnson Syndrome? | p. 206 |
| The Value of Repeating Video-EEG Monitoring and the Importance of Concomitant ECG Tracings in the Evaluation of Changes in Seizure Semiology | p. 210 |
| Unforeseen Complications and Problems | |
| A 35-Year-Old Man with Poor Surgical Outcome after Temporal Lobe Surgery | p. 219 |
| When More is Less | p. 222 |
| Change of Antiepileptic Drug Treatment for Fear of Side Effects in a 45-Year-Old Seizure-Free Patient | p. 226 |
| Personality and Mood Changes in a Teenager | p. 228 |
| Monitoring Patients May Be More Important Than Their Laboratory Tests | p. 233 |
| Depression in a Student withJuvenile Myoclonic Epilepsy | p. 237 |
| Osteomalacia in a Patient Treated with Multiple Anticonvulsants | p. 241 |
| Parkinsonism and Cognitive Decline in a 64-Year-Old Woman with Epilepsy | p. 244 |
| Problems in Managing Epilepsy during and after Pregnancy | p. 247 |
| Status Epilepticus in a Heavy Snorer | p. 251 |
| A Boy with Epilepsy and Allergic Rhinitis | p. 256 |
| Seizures and Behavior Disturbance in a Boy | p. 259 |
| Abulia in a Seizure-Free Patient with Frontal Lobe Epilepsy | p. 263 |
| The Continuing Place of Phenobarbital | p. 267 |
| A Patient with Epilepsy Slips Down Some Attic Stairs | p. 270 |
| Bilateral Hip Fractures in a 43- Year-Old Woman with Epilepsy | p. 274 |
| Picking a Wrong Antiepileptic Drug for a 9-Year-Old Girl | p. 277 |
| With Epilepsy You Never Know | p. 282 |
| Unexpected Solutions | |
| When Antiepileptic Drugs Fail in an Infant with Seizures, Consider Vitamin B6 | p. 289 |
| A 12-Year-Old Boy with Daily Clonic Seizures | p. 292 |
| A Child with Attention-Deficit Disorder, Autistic Features and Frequent Epileptiform EEG Discharges | p. 296 |
| Complete Seizure Control in a 14-Year- Old Boy after Temporal Lobectomy Failed | p. 299 |
| Ictal Crying ill a 32-Year-Old Woman | p. 302 |
| Healing Begins with Communicating the Diagnosis | p. 306 |
| An Unusual Case of Seizures and Violence | p. 309 |
| Attacks of Generalized Shaking without Postictal Conjusion | p. 313 |
| Lennox-Castaut Syndrome with Good Outcome Associated with Perisylvian Polymicrogyria | p. 316 |
| Temporal Lobe Resection in a Patient with Severe Psychiatric Problems | p. 319 |
| All Open Mind Can Benefit the Patient | p. 322 |
| An Unexpected Lesson | p. 325 |
| When Surgery Is Not Possible, All Hope Is Not Lost | p. 330 |
| Sometimes Less Is More | p. 334 |
| Unexpected Benefit from an Old Antiepileptic Drug | p. 338 |
| Status Epilepticus Responsive to Intravenous Immunoglobulin | p. 341 |
| Surgical Success in a Patient with Dijfuse Brain Trauma | p. 346 |
| Dietary Treatment if Seizures from a Hypothalamic Hamartoma | p. 350 |
| Can the Behavioral and Cognitive Effects of AEDs Be Predicted? | p. 354 |
| A Child with So-Called Nocturnal Paroxysmal Dystonia Whose Epilepsy Arose from Orbital Cortex | p. 359 |
| The Night Mom Didn't Come Back | p. 375 |
| The EEG - Not the EEG Report - Makes the Difference | p. 379 |
| Where Clinical Knowledge and Preclinical Science Meet | |
| The Double-Hit Hypothesis: Is It Clinically Relevant? | p. 387 |
| The Double-Hit Hypothesis: Is It Clinically Relevant? | p. 391 |
| Atypical Evolution in a Case of Benign Childhood Epilepsy with Centrotemporal Spikes | p. 396 |
| Does Kindling in Humans Occur? Comments Based on the Previous Case Study | p. 400 |
| Does Kindling in Humans Occur? Comments Based on the Previous Case Jrom a Preclinical Perspective | p. 403 |
| Does Status Epilepticus Represent a Different Pathophysiology than Epilepsy? A Patient with Recurrent Status Epilepticus as the Single Manifestation of Her Epilepsy | p. 407 |
| Does Status Epilepticus Represent a Different Pathophysiology than Epilepsy? A Preclinical Perspective | p. 414 |
| Does Status Epilepticus Represent a Different Pathophysiology than Epilepsy? A Clinical Perspective | p. 417 |
| Why Do Some Patients Seem to Develop Tolerance to AEDs? Development of Antiepileptic Drug Tolerance in a Patient with Temporal Lobe Epilepsy | p. 420 |
| Why Do Some Patients Seem to Develop Tolerance to AEDs? A Preclinical Discussion | p. 423 |
| How Can We Detect the Development of Tolerance (Loss of Effect) to AEDs in Patients with Epilepsy? A Clinical Discussion | p. 427 |
| My Is There a Similar Ceiling Effect for the Efficacy of Most if Not All Antiepileptic Drugs in Adult Epilepsy? Reaching the Ceiling or Hitting the Wall? | p. 433 |
| Why Is There a Similar Ceiling Effect for the Efficacy of Most if Not All Antiepileptic Drugs in Adult Epilepsy? A Clinical Perspective | p. 437 |
| What Clinical Observations on the Epidemiology of Antiepileptic Drug Intractability Tell Us About the Mechanisms of Pharmacoresistance | p. 441 |
| Difficult-to- Treat Idiopathic Generalized Epilepsy in aYoung Woman | p. 447 |
| Can We Predict a Drug's Efficacy in a Specific Epilepsy Syndrome? A Preclinical Discussion | p. 451 |
| Bridging the Gap between Evidence-Based Medicine and Clinical Practice | p. 454 |
| Psychogenic Non-Epileptic Seizures "Reduce" | p. 457 |
| Is There a Neurobiological Basis to Stress-induced, Non-epileptic Behaviors that Mimic Seizures? | p. 461 |
| Evidence for a Neurobiological Basis for Non-epileptic Seizures | p. 466 |
| Why Does VNS Take So Long to Work? | p. 470 |
| Commentary: Why Does VNS Take So Long to Work? | p. 473 |
| If at First You Don't Succeed... | p. 478 |
| Why Antiepileptic Drugs Fail in Some Patients: A Preclinical Perspective | p. 481 |
| The Continuing Conundrum of Reversible Drug-resistant Epilepsy: A Clinical Perspective | p. 484 |
| Why Do Some Patients Have Seizures After Brain Surgery While Others Do Not? | p. 489 |
| Why Do Some Patients Have Seizures After Brain Surgery While Others Do Not? A Comment on the Evidence | p. 494 |
| Why Do Some Patients Have Seizures After Brain Surgery While Others Do Not? A Clinical Perspective | p. 497 |
| Index | p. 501 |
| Table of Contents provided by Blackwell. All Rights Reserved. |
ISBN: 9780123740052
ISBN-10: 0123740053
Published: 4th September 2008
Format: Paperback
Language: English
Number of Pages: 544
Audience: Professional and Scholarly
Publisher: Academic Press
Country of Publication: US
Edition Number: 2
Edition Type: Revised
Dimensions (cm): 22.86 x 15.24 x 2.54
Weight (kg): 0.73
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