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Early seizures after epilepsy surgery predict more seizures

A study of 325 patients who underwent temporal lobe removal found that early seizures after surgery were eight times more likely to lead to persistent epilepsy. This suggests that some individuals may have epilepsy that is more persistent and resistant to treatment.

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Tip sheet for the October 26, 2004 Neurology

Researchers found that switching from brand phenytoin to generic phenytoin can lead to increased seizures in epilepsy patients. Additionally, a study on concussion history and symptom reporting found that athletes with previous concussions reported fewer symptoms immediately after the injury but more symptoms one week later. The Americ...

Epilepsy associated with higher risk for learning disabilities

A study by Grant Butterbaugh and colleagues found that adult patients with left temporal lobe epilepsy were more likely to experience learning disabilities. The researchers suggest that medically treated but uncontrolled seizures in the language-dominant side of the brain may contribute to these findings.

Existing drug may prevent brain injury and seizures in newborns

Researchers at Boston Children's Hospital have found that a compound blocking AMPA glutamate receptors can dampen excitotoxic brain injury in premature infants. The study suggests topiramate may be useful in preventing cerebral palsy and epilepsy in newborns.

Human subjects play mind games

A breakthrough in brain-machine interface technique uses electrocorticographic (ECoG) activity to record brain surface signals, enabling humans to control computers with their minds. The study achieved high accuracy rates and promises potential applications in prosthetic limb control for individuals with disabilities.

Apple Watch Series 11 (GPS, 46mm)

Apple Watch Series 11 (GPS, 46mm) tracks health metrics and safety alerts during long observing sessions, fieldwork, and remote expeditions.

Helpful or harmful? Medicinal value of marijuana remains unclear

Recent studies on marijuana use among multiple sclerosis and epilepsy patients have yielded mixed results, highlighting the need for further research to determine its efficacy. Patients reported using marijuana therapeutically to manage pain, spasms, mood, sleep, and stress, but also experienced side effects and variable doses.

Epilepsy guidelines will improve treatment and access

The new guidelines will help physicians select the correct treatment based on individual patient needs, reducing reliance on outdated data. Current insurance policies can lead to inadequate treatment due to cost containment measures, but the guidelines aim to address this issue and improve patient outcomes.

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Epilepsy presents unique problems for women

Women with epilepsy face difficulties during puberty, pregnancy, menstruation, and menopause, leading to changes in seizure severity and increased risk of fetal loss and birth defects. Doctors can help women balance medication risks by adjusting dosages or switching medications while minimizing harm.

Understanding epilepsy

Epileptic seizures result from brain dysfunction, with early diagnosis and treatment crucial to preventing irreversible damage. The stigma surrounding epilepsy exacerbates the condition's impact on daily life and quality of life.

Study reveals cause of loss of consciousness during seizures

Researchers discovered that abnormal signals scattered across brain images, like a fireworks display, occur in patients who lose consciousness during seizures. In contrast, patients who don't lose consciousness have localized increases confined to the temporal lobe.

Bim notes in the neuronal executioner's song

A new study has found that Bim regulation plays a crucial role in determining hippocampal vulnerability after injurious seizures and in temporal lobe epilepsy. The researchers suggest that understanding the molecular mechanisms underlying this relationship may lead to new therapeutic strategies for treating these conditions.

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Tip sheet for the December 23, 2003 Neurology journal

Recent studies demonstrate the accuracy of epilepsy diagnosis by doctors (96%), shedding light on dementia risk factors among adults with Down syndrome. Additionally, gabapentin shows significant effectiveness in treating chronic daily headaches, according to a study by The Australian Gabapentin Chronic Daily Headache Group.

Atkins diet may reduce seizures in children with epilepsy

A limited study of six patients found that the Atkins diet helped two children and one young adult remain seizure-free for up to 20 months. The researchers suggest that the diet may be a trial run for individuals considering the ketogenic diet, but its use should be cautious due to the small study size.

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Better brain imaging helps surgeons avoid damage to language functions

Researchers at Washington University developed a non-invasive fMRI technique to better evaluate brain surgery risks and guide operations to avoid sensitive language areas. This breakthrough holds promise for safer surgeries for nearly 200,000 Americans diagnosed with brain tumors annually.

Study confirms benefits of hemispherectomy surgery

A recent study published in Neurology confirms that 86% of children who underwent hemispherectomy at Johns Hopkins Medicine are either seizure-free or have non-disabling seizures. The surgery improves quality of life and reduces medication dependence.

Long-term outcome of epilepsy surgery is favorable for many

A study found that 63% of patients with intractable epilepsy who underwent surgery remained seizure-free for over eight years. The duration of epilepsy before surgery was a significant factor in predicting seizure freedom, with patients having longer episodes more likely to remain free from seizures.

UCI researchers identify link between infant seizures

Researchers found prolonged fever-induced seizures increase brain's production of endocannabinoids, leading to long-term modifications in neural receptors linked to them. This can result in an increased susceptibility to seizures until adulthood.

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Ketogenic diet raises cholesterol, lipid levels in children

A study published in JAMA found that children on the ketogenic diet for six months had significantly elevated cholesterol and triglyceride levels, but these levels often normalized after treatment cessation. The researchers suggest that the diet should remain a treatment option despite short-term lipids elevation.

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Mandatory reporting of seizures can have negative impact

Researchers found that mandatory reporting of seizures can lead patients to withhold information from their doctors, harming the doctor-patient relationship. The study also suggests that this may result in more uncontrolled seizures, posing a risk to public safety.

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Epilepsy surgery: Careful candidate selection produces comparable results

A study found that epilepsy surgery programs in developing countries can produce results comparable to those from developed countries using a carefully selected actuarial approach and the Seizure Scoring System. Researchers audited their program and identified factors most predictive of successful outcomes, yielding a nearly 60% succes...

Pennsylvania chemist wins national award for drug research

Maryanoff, a renowned medicinal chemist, has developed topiramate, a successful drug approved in over 70 countries to treat epilepsy and other central nervous system disorders. His work also focuses on structure-based drug design, with recent breakthroughs in human clinical trials.

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High-fat diet protects newborn brain from seizure damage, study suggests

A study on infant rats suggests that high-fat diets and increased production of uncoupling protein 2 (UCP2) may protect the newborn brain from seizure-induced cell injury. The ketogenic high-fat diet is shown to work in human children to prevent or reduce seizures, sparking new research into its potential benefits.

Analysis calls surgery effective epilepsy option

A comprehensive review of research findings shows that surgery is a superior treatment option for disabling seizures caused by mesial temporal lobe epilepsy, with better quality of life and reduced medication use. The analysis also found low surgical morbidity and mortality rates, making it an attractive alternative to medication.

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Drug-resistant seizures often take years to develop

Researchers found that age of onset, type of surgery, and history of febrile seizures are related to the amount of time before seizures become intractable. In patients whose seizures began before age 5, it took an average of 15 years for their seizures to become intractable.

Positive response to epilepsy medication does not ensure good prognosis

A new study by American Academy of Neurology found that patients with epilepsy who respond positively to medication do not necessarily have a good long-term outcome. The study analyzed 333 adults with epilepsy and found that younger patients were more likely to experience remission periods without seizures before undergoing surgery.

Supply and demand and illicit drugs

A recent Canadian Medical Association Journal investigation found that a massive heroin seizure had no impact on drug prices or overdose rates. Heroin prices actually decreased after the shipment was intercepted, raising questions about the effectiveness of supply-side interventions in controlling Canada's illicit drug epidemic.

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New research adds to understanding of conscious awareness

Researchers studied brain activity in patients with epileptic seizures to understand how synchronized gamma waves contribute to conscious perception. The studies found that synchronized fast neural activity in the sensory area is necessary for perceiving simple stimuli.

Brain damage in infants not always tied to delivery

A study of nearly 22,000 infants found that only one case of seizures was linked to a low Apgar score and high umbilical cord acid levels. Seizures were common in babies born weighing less than 3.3 pounds, affecting 6% of those cases.

Mouse model mimics natural development of epilepsy

Researchers created a new mouse model that mimics the natural development of epilepsy, revealing the crucial role of astrocytes in seizure disorders. The study, led by David H. Gutmann and Kelvin Yamada, found that mice lacking TSC1 in astrocytes developed abnormal neuronal organization and seizures.

Molecular clues to an inherited epilepsy

Researchers identified genetic mutations associated with inherited epilepsy that perturb brain cell electrical properties. These findings support a plausible mechanism for the disorder and suggest potential targets for anticonvulsant drugs.

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Routine overnight EEG monitoring not warranted in autistic children

A new study suggests that routine overnight EEG monitoring is unwarranted for autistic children, as the incidence of Landau-Kleffner syndrome is miniscule. The study found that only a small percentage of patients with autism spectrum disorder exhibit abnormal EEGs during sleep.

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