Post-hemiplegic epilepsy in the elderly.

Fine, Wilfred

doi:10.1136/bmj.1.5534.199

Cited by 22 publications

(5 citation statements)

References 2 publications

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“…In primates, neurons with large receptive fields in areas 3b and 1 of the somatosensory cortex have been shown to respond to painful and thermal stimuli (Kenshalo and Isensee, 1983). Unilateral painful seizures have most commonly been associated with parietal epileptogenic foci (Gowers, 1901;Head and Holmes, 1911;Michelsen, 1943;Lewin and Phillips, 1952;Russell and Whitty, 1953;Whitty, 1953;Fine, 1967;Wilkinson, 1973;Young and Blume, 1983).…”

Section: Painful Seizuresmentioning

confidence: 99%

“…Transient ischemic attacks can present in a way similar to partial seizures, but usually only with negative phenomena (Brotchi, 1975). Further difficulty may be experienced by the coexistence of epilepsy and cerebrovascular disease (Fine, 1967). Patients with space-occupying lesions may have transient somatosensory or visual symptoms, which need not be epileptic in origin but may be the result of ischemia around the lesions (Parkinson et al, 1952;Daly et al, 1961).…”

Section: Differential Diagnosis Of Parietal and Occipital Seizuresmentioning

confidence: 99%

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Parietal and Occipital Lobe Epilepsy: A Review

1993

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There has been considerable recent interest in frontal lobe epileptic syndromes, and less attention paid to occipital and parietal epilepsies. The occipital and parietal lobes have arbitrary anatomical borders. The prinicpal seizure symptomatology includes somatosensory (paresthetic, painful, thermal, sexual, apraxia, disturbances of body image); visual (amaurotic, elementary and complex hallucinations, illusions) and other phenomena (anosognosia, apraxia, acalculia, alexia, aphemia, confusional states, gustatory, vertiginous, adversive, oculoclonic and eyelid flutter). The seizure symptoms are of varying localizing and lateralizing value and seizure discharges may spread rapidly and perceived symptoms may reflect secondary spread rather than the primary site of seizure onset. Recognized parietal and occipital epilepsy syndromes include benign epilepsy of childhood with centrotemporal spikes, benign epilepsy of childhood with parietal evoked spikes, benign occipital epilepsy of childhood, migraine/epilepsy syndromes, and epilepsy with bilateral occipital calcification. In addition, occipital and parietal epilepsy may be on the basis of any underlying structural lesion. There is frequently a poor correlation between clinical and EEG features. MRI and functional imaging often reveals underlying pathology. There have been no specific trials of different antiepileptic drugs for occipital and parietal seizures. Surgical treatment has its place, with attention to the risk of causing a fixed neurological deficit.

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Section: Painful Seizuresmentioning

confidence: 99%

Section: Differential Diagnosis Of Parietal and Occipital Seizuresmentioning

confidence: 99%

Parietal and Occipital Lobe Epilepsy: A Review

1993

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“…Elderly patients with dementia and epilepsy are unlikely to co‐operate for CT scanning and EEG will be abnormal whatever the cause 1,2,3 . Anticonvulsant drugs effectively control seizures in the elderly 17 , and a good control of epilepsy by appropriate anticonvulsants should always be the aim, since more rigorous neuroradiological investigations are inappropriate and the hazards of craniotomy are increased by the infirmities of age, particularly in patients with multiple disabilities commonly seen in geriatric departments.…”

Section: Discussionmentioning

confidence: 99%

Epilepsy in the Elderly How Far to Investigate?

Gupta¹

1983

Int J Clinical Practice

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“…Seizures are often associated with cerebrovascular accidents in the elderly (8–10), and therefore the monitoring of phenytoin serum levels is of particular importance. The clinical signs and symptoms of toxicity, when observed, may be confused with the signs and symptoms of senility.…”

Section: Discussionmentioning

confidence: 99%

Phenytoin Concentrations in Venous versus Capillary Blood of Geriatric Patients

Umstead

McKernan

1981

J American Geriatrics Society

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In 15 elderly patients who had seizure disorders, venous blood (standard venipuncture) was compared with capillary blood (finger lancet puncture) as the source of the specimen for determination of serum phenytoin concentration. The values obtained by the two procedures were similar (r = 0.99). The mean serum phenytoin levels in the venous samples was 17.3 micrograms/ml, and in the capillary samples 17.0 micrograms/ml; the paired t test showed no statistical difference. Either method provides an adequate blood sample for determination of phenytoin, and both may be used interchangeably. Capillary samples may be preferable for aged patients in whom venipuncture proves difficult or painful.

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Post-hemiplegic epilepsy in the elderly.

Cited by 22 publications

References 2 publications

Parietal and Occipital Lobe Epilepsy: A Review

Parietal and Occipital Lobe Epilepsy: A Review

Epilepsy in the Elderly How Far to Investigate?

Phenytoin Concentrations in Venous versus Capillary Blood of Geriatric Patients

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