OBJECTIVE We aimed to determine the clinical and electroencephalographic (EEG) characteristics of the patients with West syndrome (WS) in south Iran. MATERIALS & METHODS In this retrospective study, all patients with a clinical diagnosis of WS were recruited in the outpatient epilepsy clinic at Shiraz University of Medical Sciences between September 2008 and May 2012. Age, gender, age at seiz...

PURPOSE At present, neonatal seizures are usually treated with Phenobarbital (PB) despite the limited efficacy and the potential risk this treatment holds for the developing brain. We report here a prospective pilot feasibility study on the use of Levetiracetam as monotherapy in the treatment of neonatal seizures. METHODS Six newborns (body weight>2000 g, gestational age>30 weeks) presenting ...

objective:   intractable epilepsy is a serious neurologic problem with different etiologies. decreased levels of pyridoxal phosphate in central spinal fluid level of patients with intractable epilepsy due to pyridoxine dependency epilepsy were reported. the aim of this study was to compare plasma pyridoxal 5´-phosphate level in patients with intractable and controlled epilepsy. materials   &   ...

Correspondence: Chang-Yong Tsao 700 Children’s Dr Columbus, Ohio 43205, USA Tel +1 614-722-4691 Fax +1 614-722-4633 email changyong.tsao@ nationwidechildrens.org Abstract: Infantile spasms are an epilepsy syndrome with distinctive features, including age onset during infancy, characteristic epileptic spasms, and specific electroencephalographic patterns (interictal hypsarrhythmia and ictal volt...

Infantile spasms are an epilepsy syndrome with distinctive features, including age onset during infancy, characteristic epileptic spasms, and specific electroencephalographic patterns (interictal hypsarrhythmia and ictal voltage suppression). Adrenocorticotropic hormone (ACTH) was first employed to treat infantile spasms in 1958, and since then it has been tried in prospective and retrospective...

Pyridoxine-dependent epilepsy (PDE) is a rare disorder caused by aldehyde dehydrogenase 7 family member A1 (ALDH7A1) deficiency. The present study reported on three Chinese cases of PDE with phenotypic variability for providing further insight into this disease. All three patients presented with recurrent seizures and readily responded to treatment with pyridoxine, in line with the typical symp...

Vitamin B 6 is an important vitamin for normal brain function. The metabolism of dietary vitamin B 6 to its active cofactor pyridoxal 5´-phosphate is described. The mechanism of action of pyridoxal 5´-phosphate is described, as are some important functions in the brain. The clinical features and biochemistry of three inborn errors of metabolism affecting brain pyridoxal 5´-phosphate concentrati...

A 16-year-old girl presented with a history of new onset seizures. Her semiology favored complex partial seizures of right frontal origin characterized by facial deviation and head aversion to the left followed by tonic posturing of the left upper limb. Seizure duration was approximately one minute with no post ictal confusion and recurred every ten minutes throughout the night. She presented t...