Abstract
Sequential topographic EEG mapping performed to differentiate “epileptic” from “non-epileptic” rolandic spikes has shown a characteristic pattern significantly related to classical BECT (benign focal epilepsy of childhood with centro-temporal spikes) in a study at the Department of Clinical Neurophysiology and Department of Child Neurology, University Hospital Utrecht, The Netherlands.
Highlights
The more frequent use of neurosurgical treatment of refractory status epilepticus is suggested by Gorman DG et al in a report from the UCLA Pediatric Epilepsy Research Program, Los Angeles, CA. (Epilepsia May/June 1992; 33:546-549.) The resection of a right frontal focus in a 9 year old boy with left focal motor seizures and status epilepticus was followed by immediate control of the seizures and no seizures for more than 1 year post-operatively while using carbamazepine monotherapy
Sequential topographic EEG mapping performed to differentiate "epileptic" from "non-epileptic" rolandic spikes has shown a characteristic pattern significantly related to classical BECT in a study at the Department of Clinical Neurophysiology and Department of Child Neurology, University Hospital Utrecht, The Netherlands
The non-stationary patterns represented by a double spike showed a specific sequence starting with a dipolar field, with the negative pole in the frontal region and the positive pole in the centro-temporal region, and changing to a unipolar or dipolar field, with a negative potential field in the centro-temporal region and a simultaneous positive potential field in the frontal region
Summary
The authors indicate that status epilepticus in neurologically normal children is by and large an isolated event that should not unduly influence decisions regarding further therapy. The high risk subgroup of neurologically abnormal children with recurrent status epilepticus underscored the need for better treatment strategies. The more frequent use of neurosurgical treatment of refractory status epilepticus is suggested by Gorman DG et al in a report from the UCLA Pediatric Epilepsy Research Program, Los Angeles, CA.
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