RESUMEN
A variety of temporal epilepsy that manifested by paroxysms in the form of psychosensory and gustatory ones is described. A 20-year-old man was placed under observation. Since 14 years of age he demonstrated attack-like conditions with a sensation of the pushing apart and swelling in the head, of an increase of the head size, and unpleasant sickly sweet taste in the mouth. The attacks were accompanied by anxiety and general weakness. Neurological examination revealed left-handed hemisymptomatology, EEG demonstrated activity prevailing in the occipitotemporal leads on the right. The neuropsychological findings attested to the impairment of the structures of the right temporal lobe. Analysis of the clinical manifestations of epilepsy, of the neurological findings, and the neuropsychologist's conclusion made it possible to suggest the site of the epileptic focus in the field of the hippocamp on the right.
Asunto(s)
Epilepsia Parcial Compleja/diagnóstico , Epilepsia del Lóbulo Temporal/diagnóstico , Trastornos del Gusto/diagnóstico , Adulto , Electroencefalografía , Epilepsia Parcial Compleja/sangre , Epilepsia del Lóbulo Temporal/sangre , Alucinaciones/sangre , Alucinaciones/diagnóstico , Humanos , Masculino , Examen Neurológico , Pruebas Neuropsicológicas , Radioinmunoensayo , Trastornos del Gusto/sangreRESUMEN
Vitamin B12 deficiency is often attended by neuropsychic disorders. In the geriatric population, the level of vitamin B12 is mostly reduced. However, the clinical manifestations and pathogenesis are not completely specified. The authors describe a female patients in whom vitamin B12 deficiency was coupled with manifest neuropsychic disorders. Provide a detailed depiction of the clinical status, the disease course and laboratory findings. Relate the most typical neuropsychic manifestations of vitamin B12 deficiency.
Asunto(s)
Ataxia/etiología , Trastornos del Conocimiento/etiología , Trastornos Neurocognitivos/etiología , Parestesia/etiología , Deficiencia de Vitamina B 12/complicaciones , Ataxia/diagnóstico , Trastornos del Conocimiento/diagnóstico , Femenino , Humanos , Persona de Mediana Edad , Trastornos Neurocognitivos/diagnóstico , Parestesia/diagnóstico , Deficiencia de Vitamina B 12/psicologíaRESUMEN
Altogether 40 children suffering from epilepsy with a focus of epileptic activity in the right hemisphere were treated. Analysis is made of the dependence of the efficacy of benzonal and finlepsin on the individual characteristics of functional asymmetry of the brain hemispheres. Benzonal turned out effective in the treatment of the right-handed with the dominant by speech left hemisphere. The treatment with finlepsin was more successful in children who manifested alterations in functional asymmetry of the hemispheres (right-handed and ambidextrous, children with the dominant by speech right hemisphere or with equal participation of both hemispheres in the maintenance of speech functions.
Asunto(s)
Anticonvulsivantes/uso terapéutico , Barbitúricos/uso terapéutico , Carbamazepina/uso terapéutico , Epilepsias Parciales/tratamiento farmacológico , Lateralidad Funcional/efectos de los fármacos , Adolescente , Niño , Epilepsias Parciales/fisiopatología , Femenino , Lateralidad Funcional/fisiología , Humanos , Masculino , Inducción de RemisiónRESUMEN
In 50 patients with partial forms of epilepsy the authors investigated the dominance of the cerebral hemispheres with regard to speech, using the method of dichotic listening for this purpose. The characteristics of the manifestation of speech-related predominance of the hemispheres in different types of lateralization of the epileptic focus, as well as its dynamics in the course of the disease are presented. Particular attention was paid to changes of the speech domination in children with epilepsy.