Epileptic Syndromes

Sep 2, 2016 by in NEUROLOGY Comments Off on Epileptic Syndromes

An example of an epileptic syndrome with generalized seizures is juvenile myoclonic epilepsy (JME). The seizure types are generalized tonic-clonic, absence, or myoclonic, which often occur upon awakening. The seizures…

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Neonatal Seizures

Sep 2, 2016 by in NEUROLOGY Comments Off on Neonatal Seizures

Neonatal seizures are classified as clonic, tonic, and myoclonic. Clonic seizures consist of rhythmic jerking of groups of muscles and occur in either a focal or multifocal pattern. In multifocal…

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Absence Seizures

Sep 2, 2016 by in NEUROLOGY Comments Off on Absence Seizures

In the untreated patient, absence seizures can occur quite frequently during the day. They sometimes occur in clusters, particularly when the child is tired or drowsy. In a child not…

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Generalized Tonic-Clonic Seizures

Sep 2, 2016 by in NEUROLOGY Comments Off on Generalized Tonic-Clonic Seizures

The EEG in focal seizures is characterized by focal spikes or sharp waves. There is often a relationship between the location of the spikes and the seizure type, that is,…

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Focal (Partial) Seizures

Sep 2, 2016 by in NEUROLOGY Comments Off on Focal (Partial) Seizures

The history and neurologic examination are the cornerstones of neurologic diagnosis. When assessing when a patient may have had a seizure, it is important to obtain a description of a…

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Electroencephalography

Sep 2, 2016 by in NEUROLOGY Comments Off on Electroencephalography

Brain Wave Activity. Brain activity consists of waveforms that vary in polarity, shape, and frequency, and usually range in voltage from 20 to 60 microvolts. Scalp EEG activity shows oscillations…

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Normal-Pressure Hydrocephalus

Sep 2, 2016 by in NEUROLOGY Comments Off on Normal-Pressure Hydrocephalus

Conditions known to cause scarring of the piaarachnoid membranes, such as meningeal infection, subarachnoid hemorrhage, or bleeding from past trauma, can cause hydrocephalus by decreasing the effectiveness of CSF absorption….

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Treatable Dementias

Sep 2, 2016 by in NEUROLOGY Comments Off on Treatable Dementias

Because Alzheimer disease is the most common cause of intellectual decline in later life, symptoms or signs that are unusual in Alzheimer disease should particularly alert the physician to a…

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Dementia with Lewy Bodies

Sep 2, 2016 by in NEUROLOGY Comments Off on Dementia with Lewy Bodies

In patients with DLB, the cognitive and functional decline of dementia is accompanied by a combination of clinical features that include visual hallucinations, parkinsonism, and fluctuating cognitive impairment. Visual hallucinations…

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Vascular Dementia

Sep 2, 2016 by in NEUROLOGY Comments Off on Vascular Dementia

Vascular dementias can be subclassified depending on whether the stroke or strokes responsible for the cognitive change are single versus multiple, and large vessel versus small vessel. As mentioned above,…

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