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Titolo:
"Dual pathology" and the significance of surgical outcome in "Dostoewsky'sepilepsy"
Autore:
Vera, CL; Patel, SJ; Naso, W;
Indirizzi:
Med Univ S Carolina, Dept Neurol Surg, Charleston, SC 29425 USA Med Univ SCarolina Charleston SC USA 29425 urg, Charleston, SC 29425 USA
Titolo Testata:
EPILEPTIC DISORDERS
fascicolo: 1, volume: 2, anno: 2000,
pagine: 21 - 25
SICI:
1294-9361(200003)2:1<21:"PATSO>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
TEMPORAL-LOBE EPILEPSY; DOSTOEVSKY EPILEPSY;
Keywords:
seizures; "dual pathology"; "ecstasy"; AVM; electrocorticogram;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
42
Recensione:
Indirizzi per estratti:
Indirizzo: Vera, CL 428 CSB Med Univ S Carolina, Dept Neurol Surg, 96 Jonathan Lucas St, Charleston, SC 29425 USA 428 CSB Med Univ S Carolina 96 Jonathan Lucas St Charleston SC USA 29425
Citazione:
C.L. Vera et al., ""Dual pathology" and the significance of surgical outcome in "Dostoewsky'sepilepsy"", EPILEPT DIS, 2(1), 2000, pp. 21-25

Abstract

A patient with a right occipital arterio-venous malformation (AVM) and seizures heralded by "lights", and experiencing "ecstasy" underwent a right occipital lobectomy after the AVM was embolized. Thereafter,seizures began with motor arrest and lip smacking, but never again with "light and ecstasy". A right temporal lobectomy and electrocorticogram (E.Co.G) were performed under local anesthesia four years after occipital lobectomy. Abundant spiking activity was recorded from the right hippocampus which showed gliosis and neuronal loss in the pathology studies. Electrical stimulation of the lateral and basal temporal cortices failed to elicit the vision of "lights" orthe experience Of "ecstasy". The patient has had two seizures in the last two years as a result of a lapse in taking his anti-convulsant medication. He now lives alone, seizure-free. The possible abnormally induced functional network organization and structures involved in the production of the "ecstasy" phenomenon are discussed.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 06/04/20 alle ore 08:23:42