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Journal Article 2005; 26(4): 321-325 PubMed PMID: 16136017 Citation  Keywords:  Adult, Anticonvulsants:therapeutic use, Depressive Disorder:diagnosis, Dissociative Disorders:complications, Epilepsy, Complex Partial:diagnosis, Female, Humans, Male, Middle Aged, Stress Disorders, Post-Traumatic:complications,.   

OBJECTIVES: According to recent findings trauma and stress are important etiological factors in pathogenesis of depression. As characteristic features of depressive cognition have been reported intrusive thoughts and memory disturbances similar to posttraumatic symptoms known in patients with posttraumatic stress disorder or dissociative disorders. Hypothetically is also suggested a close relationship of traumatic dissociation and epileptic-like phenomena.

SETTINGS AND DESIGN: In the clinical study were assessed 70 adult people with a diagnosis of depression and 50 healthy controls. In the assessment were used 6 measures for symptoms of dissociation, depression, traumatic stress and psychosenzoric symptoms of epileptic origin (the so-called complex partial seizure-like symptoms).

RESULTS: Reported data show that a great number of depressive patients who met the cut-off score for dissociative disorders (34.2%, N=24) had significantly higher traumatization, depression, subjectively experienced stress and complex partial seizure-like symptoms than the whole group of patients and the controls. Most significant traumatization has been found in patients who met the cut-off score of psychosenzoric epileptic-like symptoms which is characteristic for the epilepsy spectrum disorder (5.7%, N=4).

MAIN FINDINGS: Significant correlations of these assessed symptoms suggest close relationship between traumatic stress and dissociation in depression. This close relationship of dissociative symptomatology and traumatic stress also implicates an important role of dissociative processes in depression as a typical manifestation of depressive cognition. Assessed relationship between traumatic distress and complex partial seizure-like symptoms suggests a possible role of epileptic-like phenomena in dissociative states related to depression.

CONCLUSIONS: Assessed relationship between traumatization, depression and epileptic-like phenomena in the patients who met cut-off score for epilepsy spectrum disorder can contribute to the problem of indication of several depressive patients to anticonvulsant therapy because of reported evidence that a clear majority of patients with epilepsy spectrum disorder respond well to anticonvulsant treatment. Careful assessment of this test battery thus may be useful also for anticonvulsant treatment strategy....

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Journal Article 2005; 26(3): 219-224 PubMed PMID: 15990725 Citation  Keywords:  Adolescent, Adult, Cerebral Cortex, Cerebral Ventricles, Choristoma, Electroencephalography, Epilepsy:epidemiology, Evoked Potentials, Somatosensory, Female, Humans, Hydrocephalus:epidemiology, Incidence, Magnetic Resonance Imaging, Median Nerve:physiolog.   

OBJECTIVES: Developmental cerebral dysplasias are frequent causes of epilepsy. The early stage of gestation, mainly the period of neural crest separation and neuroblast migration (disturbance of midline structures, heterotopias, cortical dysplasias and disturbance of the ventricular and vascular formation), may be considered as a cause of serious cerebral dysplasia. The aim of the study was focused on frequent simultaneous occurrences of epileptic seizures and the defect or abnormality of the ventricular system - cavum septi pellucidi (CSP).

MATERIAL AND METHOD: In our study the clinical symptoms, EEG and somatosensory evoked potentials (SEP's) following median nerve stimulation and MRI pictures in the group of patients with CSP (n= 35), were analyzed. In the SEP analysis, a control group of normal, healthy volunteers (n = 40) and a group of age matched patients with epileptic seizures of different origin, without structural lesions evident on MRI (n=21), were used.

RESULTS: Analysis of the patient population with CSP (CSP was confirmed by MRI) showed that approximately in 2/3 cases, different types of cranio-cerebral dysplasias were evident on MRI. More than 2/3 of the patients with CSP showed epilepsy and an abnormal EEG record, however, focal EEG changes were seen more frequently in the group of patients with epilepsy without CSP, than in patients with CSP. The SEP's in patients with CSP showed a statistically significant prolongation of latency of thalamic P15 waves, however these changes were not present in the group of patients with epilepsy of a different origin.

CONCLUSIONS: In a group of patients with CSP, dysplastic MRI changes, together with the prolongation of thalamic wave latencies according SEP, were examined. These clinical symptoms may be considered the result of disturbances of early gestation and of lesions of midline structures. CSP became an interesting model opportunity for us, and allowed for the clinical, MRI and electrophysiological examination of developmental cerebral dysplasias. We believe that there is an important role for septal and diencephalic midline structures in cerebral electrogenesis, and possibly in the origin of epileptic seizures too....

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Case Reports 2004; 25(1-2): 40-44 PubMed PMID: 15159680 Citation  Keywords:  Adolescent, Child, Child, Preschool, Dronabinol:therapeutic use, Epilepsy:complications, Feeding and Eating Disorders:drug therapy, Female, Humans, Male, Muscle Spasticity:drug therapy, Neuronal Ceroid-Lipofuscinoses:complications, Paraplegia:complication.   

: An initial report on the therapeutic application of delta 9-THC (THC) (Dronabinol, Marinol) in 8 children resp. adolescents suffering from the following conditions, is given: neurodegenerative disease, mitochondriopathy, posthypoxic state, epilepsy, posttraumatic reaction. THC effected reduced spasticity, improved dystonia, increased initiative (with low dose), increased interest in the surroundings, and anticonvulsive action. The doses ranged from 0.04 to 0.12 mg/kg body weight a day. The medication was given as an oily solution orally in 7 patients, via percutaneous gastroenterostomy tube in one patient. At higher doses disinhibition and increased restlessness were observed. In several cases treatment was discontinued and in none of them discontinuing resulted in any problems. The possibility that THC-induced effects on ion channels and transmitters may explain its therapeutic activity seen in epileptic patients is discussed....

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Journal Article 2003; 24(5): 355-380 PubMed PMID: 14647013 Citation  Keywords:  Circadian Rhythm, Epilepsy:physiopathology, Humans, Models, Biological, Myocardial Infarction:physiopathology,.   

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Case Reports 2003; 24(1-2): 54-56 PubMed PMID: 12743533 Citation  Keywords:  Acidosis:complications, Adult, Brain:diagnostic imaging, Cerebrovascular Circulation, Cognition Disorders:etiology, Diabetes Mellitus, Type 1:complications, Diabetic Coma:complications, Epilepsy, Tonic-Clonic:etiology, Humans, Hypoglycemia:complications, .   

OBJECTIVE: Diabetes mellitus has a high incidence in general population and goes by high morbidity by specific micro vascular pathology in the retina, renal glomerul and peripheral nerves. In type 1 DM, intensive therapy can prevent or delay the development of long-term complications associated with DM but hypoglycaemia especially severe hypoglycaemia defined, as a low blood glucose resulting in stupor, seizure, or unconsciousness that precludes self-treatment is a serious threat. Hypoglycaemia that may preferentially harm neurons in the medial temporal region, specifically the hippocampus, is a potential danger for the brain cognitive function which several studies failed to detect any significant effects, whereas others indicated an influence on it. A young diabetic case presented here with severe cognitive defect. Great number of severe hypoglycaemic or hyperglycaemic attacks and convulsion episodes were described in his medical history.

RESULTS AND CONCLUSION: Neuroradiologic findings on CT and MRI, pointed that global cerebral atrophy that is incompatible with his age. Brain perfusion studies (SPECT, (99m)Tc-labeled HMPAO) also showed that there were severe perfusion defects at superior temporal region and less perfusion defects at gyrus cingulum in frontal region. These regions are related with memory processing. Severe cognitive defect in this patient seems to be closely related these changes and no another reason was found to explain except the repeated severe hypoglycaemic episodes....

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Comment 2002; 23(1): 10-12 PubMed PMID: 11880856 Citation  Keywords:  Cytokines:physiology, Epilepsy:physiopathology, Humans,.   

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Letter 2001; 22(5): 330-331 PubMed PMID: 11600874 Citation  Keywords:  Adolescent, Adult, Animals, Child, Child, Preschool, Cytokines:secretion, Epilepsy:physiopathology, Female, Humans, Infant, Interleukin-1:secretion, Male, Tumor Necrosis Factor-alpha:secretion,.   

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