A 24-year-old patient reported short episodes with déjà vu for more than 2 years that occur with increasing frequency. In the last weeks, the patient had these episodes daily. His déjà vus are accompanied by smelling perceptions. On inquiry, the patient’s partner reported that déjà vus are followed by episodes with staring, unresponsiveness and slight […]
read moreA 31-year-old female patient has suffered the last 15 years from tonic clonic generalized seizures occurring once yearly. She does not remember if these fits are preceded by subjective or objective behavioral changes that would indicate that these seizures have partial onset. Beyond the Grand Mal, the patient has smaller seizures with some impairment of […]
read moreA 53-year-old patient was admitted to assess the nature of paroxysmal behavioral changes including movements of the right arm that have occurred for a couple of years. The patient is of South-East-European origin, language barrier impedes adequate history taking. During longterm video-EEG-recording, a typical event occurred. After short pausing, the right hand clenches, evolving to […]
read moreA 72-year-old patient has coffee and cake with his wife and suddenly pauses while eating, the fork does not reach his mouth. The wife describes a staring gaze, the patient is unresponsive for 1-2 min. This episode is not accompanied by motor signs. After the end of this episode, the patient is rapidly reoriented. Therefore, […]
read moreAn almost 4-year-old boy complains to his parents after every bathing saying “it’s burning, mom it hurts!”. The parents report that in the aftermath their son stares, he has a head version to the right, and a flection of this right arm. The legs become weak and he slumps down. The eyes are open, but […]
read moreA 49-year-old female patient suffers since puberty from partial epilepsy with eight to nine automotor (= complex partial) seizures per month. Cranial MRI reveals relevant atrophy in mesio-temporal und temporo-lateral structures on the right. The patient suffers from impaired mental development, she is living with her parents. Though her epilepsy is highly intractable against a […]
read moreIn an otherwise healthy and appropriately developed 14-year-old boy, EEG recording revealed repetitive generalised 3 Hz spike-wave discharges of 3 to 4 s duration. It was unclear if this pattern was just interictal without clinical correlate or if it was an ictal seizure pattern indicating absences. Based on specifications given by the patients himself and […]
read moreA 42-year-old female patient reports at her first visit in our epilepsy outpatient clinic epigastric sensations occurring paroxysmally for more than 5 years. The sensation is stereotyped, duration is 10 to 20 sec, and frequency is up to three times a week. We specifically asked her if this feeling is accompanied or followed by loss […]
read moreA 57-year-old male patient reports loss of consciousness and subsequent falls when he laughs. One of the falls resulted in nasal bone fracture. These events have occurred for more than 25 years. The more intense he laughs, the more likely he looses consciousness. In the last 12 months, this has happened five times. Family members […]
read moreA 57-year-old lady from Russia with limited German language capabilities was admitted to our Epilepsy-Center in order to clarify if subjective paroxysmal events were of epileptic origin or not. The patient reported nausea and headaches with almost daily frequency. More detailed information was not available, in particular not on the duration of paroxysmal events. Third […]
read moreA 41-year-old female patient suffers from intractable epilepsy for more than 15 years. During the seizures she is absent, her husband describes starring, unresponsiveness, as well as chewing and smacking. Duration of seizures is 1 min., frequency is 4-5 monthly. In the past years, the patient had been treated with multiple antiepileptic drugs, at last […]
read moreA 37-year-old female patient has suffered for 1 year from suddenly occurring sleep-bound movements of 2 min. durations. The patient herself is amnesic for these episodes. Her partner reports that loud noise – such as ringing of the alarm-clock – commonly preceded sprawling and stretching body movements. The patient was not responsive during these episodes, […]
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