摘要:

Early traumatic epilepsy, whose frequency is rather high, especially in children, is usually characterized by focal motor seizures (57 %) or by generalized seizures (43 %). The association of both running and laughing fits in the same patient on the contrary is quite exceptional, as only three cases have been reported in literature. There are no observations about temporal lobe epilepsy, nor, particularly, about running or laughing fits in early traumatic epilepsy. We report here the interesting case of a boy whose early traumatic epilepsy manifested itself as temporal lobe epilepsy characterized by running and laughter.

ISSN:0014-3022    

DOI:10.1159/000114830

出版商:S. Karger AG    

年代:1977

数据来源: Karger

摘要:

The present paper reports on 13 cases of logorrhea syndrome with or without hyperkinesia, or hyperkinesia without logorrhea, with lesions at various levels of the nervous system. Lesions of the ascending reticular inhibitory system are incriminated. The mechanism producing this syndrome is discussed.

ISSN:0014-3022    

DOI:10.1159/000114831

出版商:S. Karger AG    

年代:1977

数据来源: Karger

摘要:

A 67-year-old woman with primary hypothyroidism, who had Pickwickian syndrome as well, was studied electrophysiologically. A polygraphic study with simultaneous recordings of electroencephalography, actograms of the abdominal wall, the mentum and the anterior neck, and electromyogram of the intercostal muscles revealed a cyclic appearance of apnea in the sleep phase and gasping preceding arousal, which, together with macroglossia and sleep in the sitting position, suggested a cyclic obstruction of the upper airway. The obstruction appeared responsible for both alveolar hypoventilation and disturbance of consciousness.

ISSN:0014-3022    

DOI:10.1159/000114832

出版商:S. Karger AG    

年代:1977

数据来源: Karger

摘要:

Clinical electrophysiological and neuroradiological examination of a case of unilateral intention and action myoclonus is reported. Brachial arteriography revealed an angioma located mainly in the lateral portion of the right posterior thalamus. Clinical and electrophysiological findings suggesting involvement of nonthalamic structures were absent. Our case, together with some cases previously described, raises the possibility that volitional myoclonus may be related to a relatively circumscribed damage of some diencephalic and/or mesencephalic structures. The rare occurrence of a hyperkinetic syndrome as principal symptom of a cerebral vascular malformation should be borne in mind in view of the potential risk of a stereotactic surgical procedure designated to alleviate the involuntary movements.

ISSN:0014-3022    

DOI:10.1159/000114833

出版商:S. Karger AG    

年代:1977

数据来源: Karger

摘要:

The clinical and biochemical data on 13 patients with Batten’s syndrome are described. Clinically the disease was characterized by progressive mental and somatic deterioration. Initially, vision loss was found between the ages 4 and 8 years. This was associated with 1 or 2 years of normal school attendance followed by attendance at a school for mentally retarded from the age of 8 to 11; then warding was established at a school for blind children and later on a hospital for epileptic patients when seizures and mental retardation made hospitalization necessary.Biochemically, an increased peroxidation rate was revealed in peripheral thrombocytes. This abnormality was associated with a significant decrease in peroxidase activity of leucocytes assayable with p-phenylenediamine, but not with Guajacol. The peroxidase defect seemed to concern an azide-resistant peroxidase. However, in serum the glutathione peroxidase was only found insignificantly decrease

ISSN:0014-3022    

DOI:10.1159/000114834

出版商:S. Karger AG    

年代:1977

数据来源: Karger

摘要:

We report a case of late severe epistaxis caused by traumatic aneurysm arising from the cavernous portion of the internal carotid artery as the result of a basal skull fracture. We discuss the clinical characteristics of this condition with a review of the literature.

ISSN:0014-3022    

DOI:10.1159/000114835

出版商:S. Karger AG    

年代:1977

数据来源: Karger

摘要:

An uncommon case of initial respiratory distress during the first months of life as the result of bilateral diaphragmatic weakness is presented. The biopsy and necropsy findings show a progressive congenital myopathy with type I muscle fiber atrophy and predominant involvement of the respiratory muscles. The lesions, observed in the central nervous system are due to the severe hypoxia. The morphological findings are discussed in relation to the etiology and the clinical picture of the disese.

ISSN:0014-3022    

DOI:10.1159/000114836

出版商:S. Karger AG    

年代:1977

数据来源: Karger

摘要:

A 27-year-old woman had been suffering from recurring episodes of left-sided migraine since the age of 5. When 14 years old, a diplopia on looking to the left followed each episode; its length progressed with time and eventually became permanent. On examination a left abducens palsy was found. Arteriography- failed to reveal the presence of aneurysm or other vascular anomalies.

ISSN:0014-3022    

DOI:10.1159/000114837

出版商:S. Karger AG    

年代:1977

数据来源: Karger

摘要:

Titres in CSF of natural IgG antibodies (Ab) to rabbit erythrocytes (RRBC) correlated well with titres in serum in normal individuals, indicating a passive transfer of the Ab. The ratio of CSF Ab to serum Ab mostly found was 1:400. The ratios of total IgG were slightly lower than the ratios of Ab to RRBC in normal individuals and in the majority of the diseases, except in multiple sclerosis and in subacute sclerosing panencephalitis (SSPE) where the ratios of total IgG were markedly elevated, indicating production of IgG in the central nervous system. In SSPE the ratio of measles Ab was even more elevated, suggesting that these antibodies contribute to the local IgG production. The ratios of Ab to RRBC in the two diseases were not elevated, or only slightly elevated. In normal and pathological CSF and in the Ab to RRBC all subclasses of IgG were found. In conclusion, the Ab to RRBC are considered convenient markers of serum IgG in the CSF.

ISSN:0014-3022    

DOI:10.1159/000114838

出版商:S. Karger AG    

年代:1977

数据来源: Karger

摘要:

The authors report the existence of jerking of the upper lids in the Fisher syndrome (ophthalmoplegia, ataxia and areflexia). A description of the phenomena and the circumstances in which it can be evoked is given. An interpretation of its presence in this type of polyradiculoneuritis is offered.

ISSN:0014-3022    

DOI:10.1159/000114839

出版商:S. Karger AG    

年代:1977

数据来源: Karger