Cursive and gelastic epilepsy : probable sequelae of physical abuse
نویسندگان
چکیده
An abandoned 8-year-old male child, who was subjected to physical abuse, presented with abnormal behaviour and focal seizures. The focal seizures included involuntary running attacks (epilepsia cursiva) and uncontrollable laughter (gelastic epilepsy). The occurrence of cursive and gelastic seizures in the same patient is extremely rare. These fits were probably a late sequel of head trauma.
منابع مشابه
The clinical spectrum and natural history of gelastic epilepsy-hypothalamic hamartoma syndrome
PURPOSE To delineate the clinical spectrum and patterns of evolution of epilepsy with gelastic seizures related to hypothalamic hamartoma (HH). PATIENTS AND METHODS We evaluated patients with HH, observed between 1986 and 2002 for whom at least one ictal video-EEG or EEG recording of gelastic seizures was available. RESULTS Six subjects (four male, two female) with sessile HH between 0.8 an...
متن کاملGelastic, quiritarian, and cursive epilepsy. A clinicopathological appraisal.
A patient is reported with episodes of epileptic laughter, crying, and running occurring alone or in combination. He was found to have discrete, well-circumscribed tumour of the left temporal lobe. The neurology of these epileptic events is discussed in relation to the pathological lesion.
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Pathological laughter has been recognized as an epileptic manifestation since the dawn of modern neurology, and is attributed to Trousseau. The association of laughing (gelastic) seizures with hypothalamic hamartoma was clearly described nearly 50 years ago [1], although the probable first case, described as an ‘astrocytoma’ was published in 1938 [1, 2]. In 1967, Gascon and Lombroso analyzed th...
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Hypothalamic hamartomas (HH) are developmental malformations that are associated with gelastic seizures, other types of seizures, cognitive decline, and symptoms related to hypothalamic dysfunction. Although aggressive behavior is frequently described, data on the neuropsychiatric profile are limited. In this article, five patients with HH are described who displayed a wide variety of psychiatr...
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Two cases of hypothalamic hamartomas causing gelastic epilepsy are described. The clinical presentations and the radiological features are presented, and the mechanisms involved in laughing attacks are discussed. The literature is reviewed and it is suggested the complete extirpation of the hamartomas is the treatment of choice in gelastic epilepsy.
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