Corpus callosotomy in a patient with startle epilepsy

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dc.contributor.authorGarofalo Gomez, Nicolas
dc.contributor.authorHamad, Ana Paula [UNIFESP]
dc.contributor.authorMarinho, Murilo [UNIFESP]
dc.contributor.authorTavares, Igor Melo [UNIFESP]
dc.contributor.authorCarrete, Henrique [UNIFESP]
dc.contributor.authorCaboclo, Luis Otavio [UNIFESP]
dc.contributor.authorYacubian, Elza Márcia Targas [UNIFESP]
dc.contributor.authorCenteno, Ricardo [UNIFESP]
dc.contributor.institutionCuban Inst Neurol & Neurosurg
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2016-01-24T14:31:18Z
dc.date.available2016-01-24T14:31:18Z
dc.date.issued2013-03-01
dc.description.abstractStartle 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.affiliationCuban Inst Neurol & Neurosurg, Neuropediat Dept, Havana 10400, Cuba
dc.description.affiliationUniversidade Federal de São Paulo, Hosp São Paulo, Dept Neurol & Neurosurg, São Paulo, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, Hosp São Paulo, Dept Imaging Diag, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Hosp São Paulo, Dept Neurol & Neurosurg, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Hosp São Paulo, Dept Imaging Diag, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipALADE (Academia Latino Americana de Epilepsia)
dc.description.sponsorshipILAE (International League Against Epilepsy)
dc.format.extent76-79
dc.identifierhttp://dx.doi.org/10.1684/epd.2013.0553
dc.identifier.citationEpileptic Disorders. Montrouge: John Libbey Eurotext Ltd, v. 15, n. 1, p. 76-79, 2013.
dc.identifier.doi10.1684/epd.2013.0553
dc.identifier.issn1294-9361
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/36011
dc.identifier.wosWOS:000317594400012
dc.language.isoeng
dc.publisherJohn Libbey Eurotext Ltd
dc.relation.ispartofEpileptic Disorders
dc.rightsAcesso aberto
dc.subjectcallosotomyen
dc.subjectstartle epilepsyen
dc.subjectreflex seizureen
dc.titleCorpus callosotomy in a patient with startle epilepsyen
dc.typeArtigo
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