Ictal singing due to left mesial temporal sclerosis

Simple ictal or interictal automatisms are commonly seen in epilepsy, whereas complex automatisms are rare. Simple ictal vocalizations or appendicular automatisms have been reported to be due to mesial temporal lobe epilepsy. However, seizure-associated singing and dancing is very rare. We report a seventeen-year-old patient with ictal singing and rhythmic swinging of the arms as a dancing gesture. The video-EEG recording showed ictal left temporal lateralization and neuropathology confirmed left mesial temporal sclerosis

The Correlation of Callosal Atrophy and Hemispheric Disconnection in Multiple Sclerosis

To investigate the correlation of callosal involvement and hemispheric disconnection in multiple sclerosis (MS), 20 patients with definite MS and sex, age and education matched 20 controls were given a standard, easy to use, but detailed neuropsychometric battary exploring interhemispheric transfer. Each subject also underwent a MRI scan to measure the midsagittal callosal area (MICA) and midline internal skull surface (MISS) for calculating a callosal atrophy index (MICA/MISS). Callosal lesion localization and the degree of white matter changes on MRI were also noted for the diseased patients. Test performance of the MS patients were statistically different from the control subjects (p<0.0001). Especially, tests on writing to dictation, cross-replication of hand postures and bimanuel motor coordination were found sensitive. Strikingly, callosal dysfunction was detected even without any visible corpus callosum lesion

Chronic inflammatory demyelinating polyradiculoneuropathy associated intracranial hypertension

Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) is an acquired immune-mediated demyelinating neuropathy. In this report, we detail the course of a 58-year-old male patient who had headache and double vision followed by progressive paresthesia and difficulty in walking. The patient had bilateral papilledema and mild leg weakness, absent ankle jerks and loss of sensation in distal parts of his lower and upper extremities. His electromyography (EMG) was concordant with CIDP and lumbar puncture revealed high opening pressure. The polyradiculoneuropathy as well as the papilledema and elevated cerebrospinal fluid (CSF) pressure improved under steroids. The improvement in intracranial hypertension (IHT) and papilledema under steroid treatment suggests that the IHT in this patient might be associated with CIDP

ELECTROCLINICAL AND PROGNOSTIC CHARACTERISTICS OF EPILEPSY PATIENTS WITH PHOTOSENSITIVITY

Background - Epilepsy with photosensitivity (PSE) is one of the reflex epilepsy types with pathophysiology still unexplained. In our study we aimed to evaluate the clinical, electroencephalogram (EEG) and prognosis of patients with PSE diagnosis

The Relationship Between Clinico-Pathological Properties and p-Glycoprotein Expression in Hippocampal Sclerosis Among Patients with Mesial Temporal Lobe Epilepsy Who Undergo Selective Amygdalohippocampectomy Operation

Introduction: The overproduction of the efflux transporters in the blood-brain barrier is considered to play a role in the development of drug resistance in mesial temporal lobe epilepsy (MTLE) patients. The aim of the present study was to investigate the relationship of clinical features of patients with MTLE accompanied by hippocampal sclerosis (HS) and the p-glycoprotein (p-gp) expression and neuronal loss in the hippocampus

Arachnoid cysts accompanied with psychiatric symptoms: a case serial

In this case serial, six patients having frontal or temporal arachnoid cysts with accompanying psychiatric symptoms were represented. It was remarkable that patients get a diagnosis of not otherwise specified category, had only a partial remission and bizarre and inappropriate behavior. In cases with these features brain imaging and evaluation by neurology-neurosurgery clinicians might be recommended