A 36-year-old male patient suffers from partial epilepsy since his 8th year of life after – at the age of 5 years – he had fallen out of the window resulting in severe traumatic brain injury. Cranial MRI revealed a widespread lesion in the left temporal lobe which also involved frontal lobe structures. Seizure semiology […]
read moreA 48-year-old male patient suffers a first generalized tonic clonic seizure, he does not remember any symptoms before loss of consciousness. Head MRI reveals a 2 cm lesion in right amygdala/hippocampus, no enhancement by contrast agent. The most likely diagnosis is ganglioglioma, a benign tumor which probably is carried by the patient for years or […]
read moreA 35-year-old male patient suffers for 8 years from recurrent stereotyped episodes with initial double vision for 2 to 3 min., followed by paresis of facial and then upper extremity musculature, in each case on the right. Duration of paresis is 20 to 30 min., followed by slow recovery over another 10 min. During these […]
read moreA 23-year-old man had developed epilepsy with three presumably generalized tonic clonic seizures in the last 4 years, there were no hints for focal seizure onset. Even in detailed history taking, there were no clear hints for binding to the time of day or sleep-wake-cycle. Several routine EEGs and a recent head MRI were normal. […]
read moreSix months ago, a 10-year-old boy sufferer the first time from two generalized tonic clonic seizures that were preceded by an epigastric aura (feeling of warmth in the upper abdomen that slowly rises to the throat). Brain MRI was normal, thus in another hospital the correct diagnosis of cryptogenic partial epilepsy was made. Antiepileptic drug […]
read moreA 29-year-old female patient suffers from idiopathic generalized epilepsy with myoclonic jerks in her upper extremities since her 13th year of life. In addition, she had experienced a total of five generalized tonic clonic seizures after awakening since her 14th year of life. These grand mal seizures commonly are triggered by sleep deprivation the night […]
read moreA 67-year old female patient presents in one of our epilepsy outpatient clinics accompanied by her daughter. The patient reports that since her early school age, i.e. since her 9th year of life, absence seizures have occurred several times per day. Five years later, she suffered her first tonic clonic generalized epileptic seizure. Only at […]
read moreA 16-year-old young man reported almost daily jerks in his arms, that first have occurred 6 months ago. He further said that these sudden lancinating movements originate in his shoulders. These jerks manifest almost always in the early morning in the first 60 min. after awakening. Epileptic seizures with loss or impairment of consciousness were […]
read moreA 15-year old male adolescent is admitted to our clinic to clarify if paroxysmal episodes with loss of consciousness and subsequent fall can be attributed to epileptic seizures or to seizures of other origins. Other seizures comprise syncopes or – very rare – cataplectic seizures that are part of narcolepsy. The patient himself was not […]
read moreA 32-year-old male patient with massive overweight (140 kg at 178 cm height) underwent an operation with bypass of the stomach 12 months ago. Since then he had suffered from five tonic-clonic generalized epileptic seizures. Prior to seizures, the patient appears to be disorientated, he reports vegetative symptoms such as sweating. After two of these […]
read moreA 27-year-old male patient suffered from first epileptic seizures 5 years ago. Seizures were characterized by loss of contact, staring, and swallowing, duration is 1 min. These automotor (= complex partial) seizures initially manifested in wakefulness and in sleep. The patient did not remember an aura preceding seizures from wakefulness, by nature he could not […]
read moreTwelve months ago, a 32-year-old male patient suffered a first generalized tonic clonic seizure from sleep. Since then, two further episodes with impaired consciousness and swallowing lasting less than 1 min. have occurred – these are typical clinical signs of an automotor (= complex partial) epileptic seizure. Postictally, the patient was immediately able to speak. […]
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