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Related Concept Videos

Alterations in Muscle Tone ll01:12

Alterations in Muscle Tone ll

Alterations in muscle tone are common manifestations of neurological disorders and reflect dysfunction within different nervous system regions. Spasticity, paratonia, and dystonia represent distinct forms of hypertonia, each with unique mechanisms, clinical features, and diagnostic importance.CharacteristicsSpasticity happens from upper motor neuron lesions and is characterized by velocity-dependent resistance to passive movement. Clinical features include:Exaggerated deep tendon reflexesClonus...
Epilepsy and Seizures: Overview01:24

Epilepsy and Seizures: Overview

Epilepsy is a chronic neurological disease marked by recurrent, unpredictable seizures. These seizures are caused by abnormal electrical discharges in the brain, leading to behavior, sensation, or consciousness alterations. They can also cause transient impairment of awareness, interfering with daily activities.
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
Alterations in Muscle Tone lll01:11

Alterations in Muscle Tone lll

Rigidity and myotonia are distinct abnormalities of muscle tone that affect resistance and relaxation during movement. Although both involve altered muscle contraction, they arise from different neurological and muscular mechanisms.CharacteristicsRigidity is characterized by uniform resistance to passive movement across the entire range, independent of speed, affecting flexors and extensors equally. It may appear as lead-pipe rigidity (smooth, constant resistance) or cogwheel rigidity...
Seizures: Classification01:13

Seizures: Classification

Epilepsy is primarily characterized by unpredictable seizures, either provoked by an identifiable factor, such as injury or illness, or unprovoked, occurring spontaneously without apparent cause.
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
Epilepsy ll: Types01:22

Epilepsy ll: Types

Recurrent seizures, stemming from abnormal electrical activity in the brain, are the defining characteristic of epilepsy, a chronic neurological condition. Because seizure features vary greatly, epilepsy is classified using two systems: by seizure type and by epilepsy syndromes. These classifications enable clinicians to describe seizure patterns and select suitable treatment strategies.I. Classification by Seizure Type1. Focal EpilepsyFocal epilepsy begins in one hemisphere of the brain.
ATP Synthase: Mechanism01:48

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In animals, the mitochondrial F1F0 ATP synthase is the key protein that synthesizes ATP molecules through a complex catalytic mechanism. While the nuclear genome encodes the majority of ATP synthase subunits, the mitochondrial genome encodes some of the enzyme's most critical components. The formation of this multi-subunit enzyme is a complex multi-step process regulated at the level of transcription, translation, and assembly. Defects in one or more of these steps can result in decreased ATP...

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Autonomic dysfunction in epilepsy and mitochondrial diseases.

Sumit Parikh1, Ajay Gupta

  • 1Neurological Institute, Cleveland Clinic Foundation, Cleveland, OH 44195, USA.

Seminars in Pediatric Neurology
|March 8, 2013
PubMed
Summary

Autonomic nervous system dysfunction is common in children with epilepsy and mitochondrial diseases but often overlooked. Recognizing these autonomic issues can improve diagnosis, management, and patient outcomes.

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Area of Science:

  • Neurology
  • Autonomic Neuroscience
  • Pediatrics

Background:

  • The autonomic nervous system (ANS) plays a complex role in epilepsy and mitochondrial diseases.
  • Autonomic dysfunction is frequently underdiagnosed in these conditions due to overshadowing symptoms.
  • Early recognition of autonomic issues is crucial for patient well-being.

Purpose of the Study:

  • To review autonomic nervous system dysfunction in pediatric epilepsy.
  • To review autonomic nervous system dysfunction in pediatric mitochondrial diseases.
  • To highlight the importance of recognizing autonomic manifestations for improved patient care.

Main Methods:

  • This chapter synthesizes current knowledge on autonomic dysfunction in epilepsy and mitochondrial diseases.
  • It reviews clinical presentations and underlying mechanisms.
  • Focus is placed on pediatric populations.

Main Results:

  • Autonomic nervous system involvement is a significant, often unrecognized, feature in children with epilepsy.
  • Children with mitochondrial diseases frequently exhibit diverse autonomic dysfunctions.
  • These dysfunctions contribute to morbidity and mortality.

Conclusions:

  • Increased awareness and recognition of autonomic nervous system dysfunction are vital for timely diagnosis and management.
  • Addressing autonomic issues can enhance the quality of life for patients with epilepsy and mitochondrial diseases.
  • Further research into ANS involvement can lead to better therapeutic strategies.