Journal of the Japan Epilepsy Society
Online ISSN : 1347-5509
Print ISSN : 0912-0890
ISSN-L : 0912-0890
Volume 14, Issue 3
Displaying 1-3 of 3 articles from this issue
  • A Comparison with Diffuse Grand Mal
    Kosuke Kanemoto, Jun Kawasaki, Itsuo Kawai
    1996 Volume 14 Issue 3 Pages 181-186
    Published: October 31, 1996
    Released on J-STAGE: July 17, 2012
    JOURNAL FREE ACCESS
    This study investigates the histories and the clinical course of 224 patients who had grand mal almost always during sleep (SGM group) and 86 patients who had grand mal on awakening (GMA group). We used 1590 patients who had grand mal and did not belong to neither of the former two groups as a control. We confirmed that the SGM group was strongly related to symptomatic localization-related epilepsy, espe cially temporal and frontal lobe epilepsy and that psychic aura as well as temporal EEG foci occurred significantly more often. In contrast, the GMA group was strongly related to idiopathic generalized epilepsy, especially juvenile myoclonic epilepsy. Absence and generalized myoclonic seizure, together with 3 c/s or faster generalized spike and wave, occurred significantly more often in the GMA group. In agreement with previous reports, the SGM group exhibited a better prognosis in comparison with symptomatic localization-related epilepsy in general.
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  • Keiji Kaneta, Masaki Nagano, Hiroyuki Hayasaka, Mami Ikemoto, Naohiko ...
    1996 Volume 14 Issue 3 Pages 187-191
    Published: October 31, 1996
    Released on J-STAGE: July 17, 2012
    JOURNAL FREE ACCESS
    We reported a case of complex partial status epilepticus with memory distur bance. A 47-year-old woman had suffered from complex partial seizures with dizzi ness and nausea. She consulted our hospital because her seizures had become frequent. She suffered from complex partial status epilepticus (CPSE). We examined her EEG and gave her an injection of intravenous diazepam. She recovered from CPSE but acquired memory disturbance. We examined her brain by MRI and detected high signal intensity on bilateral hippocampus on the T2 image. Her memory disturbance mainly consisted of memory input dysfunction. Therefore, we thought her memory distur bance was due to dysfunction of the hippocampus. As reported, high signal intensity on the MRI T2 image after CPSE was considered to be edema. Our case recovered a little from the memory disturbance and we observed no significant abnormal intensity on the MRI T2 image. It is suggested that the high signal intensity was caused by edema.
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  • Shigeko Saitoh, Masutomo Miyao, Shigeichi Kobayashi, Takanori Yamagata ...
    1996 Volume 14 Issue 3 Pages 192-197
    Published: October 31, 1996
    Released on J-STAGE: July 17, 2012
    JOURNAL FREE ACCESS
    A seven-year-old boy presented non-convulsive status epilepticus showing continuous diffuse high voltage slow waves in his ictal EEG. His interictal EEG studies revealed Rolandic discharges (RD) during sleep. After the first episodes, he presented occasional partial seizures showing right hemi-clonic convulsions of the face and upper extremity shortly after falling in sleep suggesting that he had benign epilepsy of childhood with centrotemporal spikes (BECCT). This is the first report of non-convulsive status epilepticus in a patient with BECCT suggesting that the focal discharges of BECCT can cause non-convulsive status epilepticus by the generalization of abnormal discharges.
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