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Related Concept Videos

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.
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...
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:
Seizures l: Introduction01:20

Seizures l: Introduction

Understanding seizures and epilepsy relies on key definitions that help in recognizing, classifying, and managing these disorders. These definitions provide a framework for recognizing, classifying, and managing seizure disorders.DefinitionsA seizure is a sudden, abnormal burst of electrical activity in the brain that can cause changes in awareness, movement, sensation, or behavior, depending on the area involved. Epilepsy is a chronic condition characterized by recurrent, unprovoked seizures,...
Encephalitis l: Introduction01:19

Encephalitis l: Introduction

Encephalitis is inflammation of the brain parenchyma, most often due to infections or autoimmune processes. It presents with neuropsychiatric features such as fever, altered mental status, behavioral changes, cognitive dysfunction, seizures, focal deficits, and sometimes autonomic instability. In some cases, the meninges are also involved, resulting in meningoencephalitis.Infectious CausesInfectious encephalitis is most commonly viral but can also result from bacterial, fungal, or parasitic...
Encephalitis ll: Pathophysiology01:26

Encephalitis ll: Pathophysiology

Encephalitis is inflammation of the brain parenchyma caused by direct viral invasion or immune-mediated mechanisms triggered by infections or tumors. Both processes lead to neuronal injury, disrupted neurotransmission, and diverse neurological symptoms, often with overlapping clinical and pathological features.Autoimmune EncephalitisIn autoimmune encephalitis, antibodies target neuronal antigens on cell surfaces, synapses, or within neurons. A key example is anti-NMDAR encephalitis, which can...

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A Model for Epilepsy of Infectious Etiology using Theiler's Murine Encephalomyelitis Virus
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The epileptic encephalopathies.

J Helen Cross1, Renzo Guerrini

  • 1Neurosciences Unit, UCL-Institute of Child Health, Great Ormond Street Hospital, London and the Young Epilepsy, Lingfield, UK.

Handbook of Clinical Neurology
|April 30, 2013
PubMed
Summary
This summary is machine-generated.

Epileptic encephalopathy is a severe condition where seizures disrupt cognition and behavior, particularly in children. Understanding the link between epileptic activity and neurodevelopmental issues is crucial for effective epilepsy management and seizure control.

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Area of Science:

  • Neurology
  • Pediatric Neurology
  • Epileptology

Background:

  • Epileptic encephalopathy is characterized by epileptic activity causing cognitive, behavioral, and motor disturbances.
  • Severe early-onset epilepsies pose a higher risk for developing epileptic encephalopathies in children.
  • The extent of neurodevelopmental compromise and its reversibility due to epileptic activity vary individually.

Purpose of the Study:

  • To explore the relationship between epileptic activity and neurodevelopmental impairments in epileptic encephalopathy.
  • To enhance understanding of the contribution of epileptic activity to specific epilepsy syndromes.
  • To inform strategies for optimal epilepsy management, focusing on seizure control and avoiding treatment-induced deterioration.

Main Methods:

  • Review of clinical and laboratory data on epileptic encephalopathy.
  • Analysis of the impact of clinical and subclinical epileptic activity on neurodevelopment.
  • Evaluation of treatment approaches in managing epileptic encephalopathy.

Main Results:

  • Epileptic activity is a key factor in the neurodevelopmental deficits seen in epileptic encephalopathy.
  • Individual variability exists in the impact of seizures on neurodevelopment and potential for recovery.
  • Further research is needed to fully elucidate the mechanisms involved.

Conclusions:

  • Epileptic encephalopathy necessitates a management approach prioritizing seizure control, including subclinical activity.
  • Avoiding treatments that could worsen seizure control is as vital as achieving seizure reduction.
  • Continued research is essential for a comprehensive understanding and improved treatment of these complex epilepsies.