Navegando por Palavras-chave "epileptic seizures"
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- ItemAcesso aberto (Open Access)Exames subsidiários preditivos de crises epilépticas após acidente vascular cerebral isquêmico(Academia Brasileira de Neurologia - ABNEURO, 1997-01-01) Fukujima, Marcia Maiumi [UNIFESP]; Cardeal, Jose Osmar [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)We studied subsidiary laboratorial tests such as serum glucose, red blood cell count, total cholesterol, HDL and LDL cholesterol and triglycerides, eletrocardiogram, eletroencephalogram (EEG), cerebrospinal fluid, and CT scan of 35 patients with cerebral infarction who developed epileptic seizures (group 1 or G1), and compared them to a group of 35 patients who had cerebral infarction but have not developed epileptic seizures (group 2 or G2). The EEG analysis showed significance in the comparison between the groups; focal lentification of the electrical cerebral activity was the most frequent abnormality found in G1. Extensive infarcts were also more frequent in G1. The association of abnormal EEG and extensive lesion on CT may be considered a preditive factor for occurrence of epileptic seizures after cerebral infarction. The analysis of the other tests showed no significance on the comparison between the groups.
- ItemAcesso aberto (Open Access)Tratamento cirúrgico das patologias vasculares cerebrais nos pacientes epilépticos(Academia Brasileira de Neurologia - ABNEURO, 1997-09-01) Rassi-neto, Aziz [UNIFESP]; Ribeiro, Paulo R. Jubé [UNIFESP]; Prates, Marcello Americano [UNIFESP]; Muszkat, Mauro [UNIFESP]; Campos, Carlos José Reis De [UNIFESP]; Ferraz, Fernando A. P. [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Surgery of arteriovenous malformations (AVM) and of cavernous angiomas (cavernoma) in the majority of cases is indicated subsequently to episodes of bleeding. With the development of techniques for diagnosis and surgery for epilepsy of difficult control, indication for surgery of these vascular lesions has become greater. We present nine patients with cerebral vascular lesions and very frequent crises in spite of adequate clinical treatment. Ages ranged from 12 to 42 years with an average of 25 years; there was a prevalence of the male sex (2:1). Surgery consisted of exeresis of the lesion in all cases and in four there was also resection of the perilesional irritative area shown by electrocorticography. The pathologic study of lesions showed five cases of cavernoma, three cases of AVM, and one case of venous angioma. As to localization, we observed three lesions in the temporal lobe, four in the frontal, and two in the parietal region. Outpatient follow-up showed a reduction in crises in all of the patients, and seven evolved seizure free following surgery.