Corpus callosotomy in a patient with startle epilepsy

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dc.contributor.author Garofalo Gomez, Nicolas
dc.contributor.author Hamad, Ana Paula [UNIFESP]
dc.contributor.author Marinho, Murilo [UNIFESP]
dc.contributor.author Tavares, Igor Melo [UNIFESP]
dc.contributor.author Carrete, Henrique [UNIFESP]
dc.contributor.author Caboclo, Luis Otavio [UNIFESP]
dc.contributor.author Yacubian, Elza Márcia Targas [UNIFESP]
dc.contributor.author Centeno, Ricardo [UNIFESP]
dc.date.accessioned 2016-01-24T14:31:18Z
dc.date.available 2016-01-24T14:31:18Z
dc.date.issued 2013-03-01
dc.identifier http://dx.doi.org/10.1684/epd.2013.0553
dc.identifier.citation Epileptic Disorders. Montrouge: John Libbey Eurotext Ltd, v. 15, n. 1, p. 76-79, 2013.
dc.identifier.issn 1294-9361
dc.identifier.uri http://repositorio.unifesp.br/handle/11600/36011
dc.description.abstract Startle epilepsy is a syndrome of reflex epilepsy in which the seizures are precipitated by a sudden and surprising, usually auditory, stimulus. We describe herein a girl who had been suffering with startle-induced seizures since 2 years of age. She had focal, tonic and tonic-clonic seizures, refractory to antiepileptic treatment. Daily tonic seizures led to very frequent falls and morbidity. Neurologically, she had no deficit. Interictal EEG showed slow waves and epileptiform discharges in central and fronto-central regions. Video-polygraphic recordings of seizures, triggered by stimuli, showed generalised symmetric tonic posturing with ictal EEG, characterised by an abrupt and diffuse electrodecremental pattern of fast activity, followed by alpha-theta rhythm superimposed by epileptic discharges predominantly over the vertex and anterior regions. Magnetic resonance imaging showed no abnormalities. Corpus callosotomy was performed when the patient was 17. Since surgery, the patient (one year follow-up) has remained seizure-free. Corpus callosotomy may be considered in patients with startle epilepsy and tonic seizures, in the absence of focal lesions amenable to surgery. [Published with video sequences] en
dc.description.sponsorship ALADE (Academia Latino Americana de Epilepsia)
dc.description.sponsorship ILAE (International League Against Epilepsy)
dc.format.extent 76-79
dc.language.iso eng
dc.publisher John Libbey Eurotext Ltd
dc.relation.ispartof Epileptic Disorders
dc.rights Acesso aberto
dc.subject callosotomy en
dc.subject startle epilepsy en
dc.subject reflex seizure en
dc.title Corpus callosotomy in a patient with startle epilepsy en
dc.type Artigo
dc.contributor.institution Cuban Inst Neurol & Neurosurg
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.description.affiliation Cuban Inst Neurol & Neurosurg, Neuropediat Dept, Havana 10400, Cuba
dc.description.affiliation Universidade Federal de São Paulo, Hosp São Paulo, Dept Neurol & Neurosurg, São Paulo, Brazil
dc.description.affiliation Universidade Federal de São Paulo, Hosp São Paulo, Dept Imaging Diag, São Paulo, Brazil
dc.description.affiliationUnifesp Universidade Federal de São Paulo, Hosp São Paulo, Dept Neurol & Neurosurg, São Paulo, Brazil
dc.description.affiliationUnifesp Universidade Federal de São Paulo, Hosp São Paulo, Dept Imaging Diag, São Paulo, Brazil
dc.identifier.doi 10.1684/epd.2013.0553
dc.description.source Web of Science
dc.identifier.wos WOS:000317594400012



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