Source:http://linkedlifedata.com/resource/pubmed/id/21131239
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
2011-1-17
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pubmed:abstractText |
We describe two pediatric patients with an uncommon electrophysiological seizure propagation pattern. Both had dialeptic seizures as the main or only symptom. Case 1 had a small mass in the left medial temporal structures; case 2 had no lesion on magnetic resonance imaging. In both, the electroencephalogram showed not only left temporal spikes, but also bilaterally synchronous 3-Hz spike-and-wave complexes (SWCs) from onset and unusual secondarily generalized 3-Hz SWC patterns arising from the left temporal region. Case 1 was seizure free following resection of the mass; focal or generalized epileptiform electroencephalographic abnormalities were no longer present. In case 2, magnetoencephalography localized the spikes to the left superior and midtemporal gyrus, which ictal single-photon-emission computed tomography suggested was the origin of onset. These cases illustrate the close relationship between the focal epileptic area and 3-Hz SWCs and suggest that the focal area can trigger 3-Hz SWCs. The therapeutic strategy may need to be altered in such patients.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Jan
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pubmed:issn |
1525-5069
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pubmed:author | |
pubmed:copyrightInfo |
Copyright © 2010 Elsevier Inc. All rights reserved.
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pubmed:issnType |
Electronic
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pubmed:volume |
20
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
103-6
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pubmed:meshHeading |
pubmed-meshheading:21131239-Brain,
pubmed-meshheading:21131239-Child,
pubmed-meshheading:21131239-Electrophysiological Phenomena,
pubmed-meshheading:21131239-Epilepsy,
pubmed-meshheading:21131239-Female,
pubmed-meshheading:21131239-Humans,
pubmed-meshheading:21131239-Magnetic Resonance Imaging,
pubmed-meshheading:21131239-Magnetoencephalography,
pubmed-meshheading:21131239-Male
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pubmed:year |
2011
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pubmed:articleTitle |
Generalized 3-Hz spike-and-wave complexes emanating from focal epileptic activity in pediatric patients.
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pubmed:affiliation |
Epilepsy Center, Department of Neurology, The Cleveland Clinic, Cleveland, OH 44195, USA.
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pubmed:publicationType |
Journal Article
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