Calcificação nos núcleos da base na tomografia computadorizada: correlação clínica em 25 pacientes consecutivos

Fonseca, Lineu Corrêa; Junior, Elizardo Nogueira

doi:10.1590/s0004-282x2006000100021

Cited by 19 publications

(1 citation statement)

References 11 publications

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“…Intracranial calcifications were found in seven cases in the neuroimaging exams carried out in the present study, and basal ganglia calcifications in one case, but without any causal relationship with the ES. The elevated proportion of intracranial calcifications in our medium due to neurocysticercosis is well known, with no associated neurological manifestation 23 . On the other hand, the finding of basal ganglia calcifications, suggestive of Fahr's disease, as observed in one patient diagnosed with symptomatic epilepsy with vascular etiology, can be considered incidental 23 .…”

Section: Diagnostic Evaluationmentioning

confidence: 74%

Epilepsy with onset at over 50 years of age: clinical and electroencephalographic characteristics

Fonseca

Junior

Pazetto

2012

Arq. Neuro-Psiquiatr.

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The elevated incidence of epilepsy with onsetat over 50 years of age, in relation to the total number of new cases of epilepsy, has been ignored in the literature in recent decades 1 . Studies have shown that epilepsy affects approximately 1 to 2% of the elderly population, and the incidence increases progressively with the advance in age. These cases of epilepsy can occur due to an acute cerebral seizure or have no apparent precipitator 2,3 . On the other hand, there is consensus in the literature that epileptic seizures (ES) are more difficult to diagnose in the elderly for various reasons such as the difficulty in obtaining an accurate clinical history, a frequently atypical ictal presentation, difficulty in making a differential diagnosis between an epileptic and non-epileptic event [3][4][5][6] and due the occurrence of comorbidities 5,6 . Although epilepsy is considered to be one of the commonest neurological affections in the elderly, and despite the need to take public health measures due to the progressive increase in the elderly population, particularly in developing countries, no national (Brazilian) publications and only a few international ones on epilepsy in this age range were found.Thus, the objective of the present study was to evaluate the clinical and electroencephalographic aspects of ES and epilepsies in patients with late-onset ES at over 50 years of age, also considering different age ranges. METHODS PatientsFifty-five patients, consecutively attended at the neurological clinic of the Celso Pierro Hospital and Maternity ABSTRACTEpilepsy in older individuals has an elevated incidence. The objective of the present work was to evaluate the clinical, EEG and brain imaging aspects in patients showing late-onset epilepsy. Fifty-five patients with late-onset epilepsy (older than 50 years) were evaluated. They were composed of two groups according to the onset age of the epilepsy seizure (ES): 51-60 (G51-60) and over 60 (G60+) years. Focal ES predominated although they were less frequent in G60+. The occurrence of status epilepticus was high and more frequent in G60+ whereas seizures in series predominated in G51-60. Symptomatic epilepsy was more frequent and the vascular etiology predominated. Epileptiform activity was associated with a greater number of ES, and background activity abnormalities were more frequent in G60+. In conclusion, epilepsy with onset at over 50 was predominantly focal and symptomatic, with a high occurrence of status epilepticus and of seizures in series.Key words: epilepsy, aged, epileptic seizures, electroencephalography. RESUMOEpilepsia no idoso tem elevada incidência e peculiaridades pouco estudadas. O objetivo do presente trabalho foi avaliar aspectos clínicos e eletrencefalográficos de pacientes que apresentaram a primeira crise epiléptica (CE) tardiamente. Foram avaliados 55 pacientes com epilepsia tardia (com início após os 50 anos), divididos em dois grupos segundo a idade de início das CE: de 51-60 anos (G51-60) e após os 60 anos (G60+). Predominaram as CE focai...

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Section: Diagnostic Evaluationmentioning

confidence: 74%

Epilepsy with onset at over 50 years of age: clinical and electroencephalographic characteristics

Fonseca

Junior

Pazetto

2012

Arq. Neuro-Psiquiatr.

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Neuroimaging of Basal Ganglia Calcifications

Brüggemann

Hagenah

2013

Neuroimaging of Movement Disorders

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Cerebral infarction after mild head trauma in children

et al. 2013

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We conducted this retrospective, case record review to determine the risk factors and clinical features associated with cerebral infarction after mild head trauma in children. The median age of the cohort was 2.18 years (range, 6 mo-8 y). Most (26/29) of the patients developed the neurological symptoms and signs within 72 hours after trauma, 51.7% within 30 minutes. The first symptoms included hemiparesis (20), facial paresis (7), and convulsion (7). 86.21% of the lesions lay in basal ganglia region. Pre-existing basal ganglia calcification was identified in 13 as a risk factor.

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Calcificação nos núcleos da base na tomografia computadorizada: correlação clínica em 25 pacientes consecutivos

Cited by 19 publications

References 11 publications

Epilepsy with onset at over 50 years of age: clinical and electroencephalographic characteristics

Epilepsy with onset at over 50 years of age: clinical and electroencephalographic characteristics

Neuroimaging of Basal Ganglia Calcifications

Cerebral infarction after mild head trauma in children

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