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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2006-9-11
pubmed:abstractText
This study aimed to assess the relevance of epilepsy and spina bifida in the lumbosacral region. We evaluated 75 patients with spina bifida admitted to the Kyushu University Hospital from 1980 to 2004. Patients were classified as having meningocele (MC, 4 cases), myelomeningocele (MMC, 6), myeloschisis (MS, 45), and lumbosacral lipoma (LL, 20). Nine cases had epileptic disorders, and all showed MS. Meticulous neuroradiological investigations revealed cerebral abnormalities such as polymicrogyria or hypogenesis of the corpus callosum in all epileptic cases. Locations of cerebral abnormalities topographically correlated with areas of interictal EEG abnormalities. Although all epileptic cases had ventriculoperitoneal (VP) shunt for hydrocephalus before the onset of epilepsy, interictal EEG abnormalities could not be explained by location of the VP shunt. In all LL patients, neither history of epilepsy nor cerebral abnormalities were noted on magnetic resonance imaging (MRI). Epileptogenesis in spina bifida patients seemed to correlate with coexisting cerebral abnormalities in MS patients rather than with the VP shunt. However, not all spina bifida patients associated with cerebral abnormalities had epilepsy, and not all cerebral abnormalities were epileptogenic, suggesting that epilepsy in spina bifida patients was multifactorial.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
0344-5607
pubmed:author
pubmed:issnType
Print
pubmed:volume
29
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
327-32; discussion 332
pubmed:meshHeading
pubmed-meshheading:16933125-Adolescent, pubmed-meshheading:16933125-Adult, pubmed-meshheading:16933125-Age of Onset, pubmed-meshheading:16933125-Anticonvulsants, pubmed-meshheading:16933125-Child, pubmed-meshheading:16933125-Child, Preschool, pubmed-meshheading:16933125-Electroencephalography, pubmed-meshheading:16933125-Epilepsy, pubmed-meshheading:16933125-Female, pubmed-meshheading:16933125-Humans, pubmed-meshheading:16933125-Infant, pubmed-meshheading:16933125-Lipoma, pubmed-meshheading:16933125-Lumbosacral Region, pubmed-meshheading:16933125-Magnetic Resonance Imaging, pubmed-meshheading:16933125-Male, pubmed-meshheading:16933125-Meningeal Neoplasms, pubmed-meshheading:16933125-Meningocele, pubmed-meshheading:16933125-Spinal Dysraphism, pubmed-meshheading:16933125-Tomography, X-Ray Computed, pubmed-meshheading:16933125-Treatment Outcome
pubmed:year
2006
pubmed:articleTitle
Epilepsy in patients with spina bifida in the lumbosacral region.
pubmed:affiliation
Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, Japan.
pubmed:publicationType
Journal Article