Ictogenesis during sEEG evaluation after acute intracranial hemorrhage
We present a unique case of a patient with drug-resistant focal epilepsy undergoing stereoelectroencephalography (sEEG) who developed an acute posttraumatic intracranial hemorrhage during monitoring, first detected by changes on sEEG. Our case demonstrates the evolution of electrographic changes at...
Main Authors: | , , , , , , , |
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Format: | Article |
Language: | English |
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Elsevier
2019-01-01
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Series: | Epilepsy and Behavior Case Reports |
Online Access: | http://www.sciencedirect.com/science/article/pii/S2213323218301580 |
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author | Alexandra T. Issa Roach Diana Pizarro Hrishikesh D. Deshpande Sandipan Pati Jerzy P. Szaflarski Kristen O. Riley Wolfgang Muhlhofer James T. Houston |
author_facet | Alexandra T. Issa Roach Diana Pizarro Hrishikesh D. Deshpande Sandipan Pati Jerzy P. Szaflarski Kristen O. Riley Wolfgang Muhlhofer James T. Houston |
author_sort | Alexandra T. Issa Roach |
collection | DOAJ |
description | We present a unique case of a patient with drug-resistant focal epilepsy undergoing stereoelectroencephalography (sEEG) who developed an acute posttraumatic intracranial hemorrhage during monitoring, first detected by changes on sEEG. Our case demonstrates the evolution of electrographic changes at the time of initial hemorrhage to the development of ictal activity. We conducted spectral analysis of the sEEG data to illustrate the transition from an interictal to ictal state. Initially, delta power increased in the region of acute hemorrhage, followed by sustained regional reduction in frequency variability. Our findings provide further information on the development of epileptiform activity in acute hemorrhage. Keywords: Epileptogenesis, Traumatic brain hemorrhage, Stereo-EEG |
first_indexed | 2024-12-14T17:41:59Z |
format | Article |
id | doaj.art-35b5da619ca44c9197d173ddb9a8317a |
institution | Directory Open Access Journal |
issn | 2213-3232 |
language | English |
last_indexed | 2024-12-14T17:41:59Z |
publishDate | 2019-01-01 |
publisher | Elsevier |
record_format | Article |
series | Epilepsy and Behavior Case Reports |
spelling | doaj.art-35b5da619ca44c9197d173ddb9a8317a2022-12-21T22:52:49ZengElsevierEpilepsy and Behavior Case Reports2213-32322019-01-0111115119Ictogenesis during sEEG evaluation after acute intracranial hemorrhageAlexandra T. Issa Roach0Diana Pizarro1Hrishikesh D. Deshpande2Sandipan Pati3Jerzy P. Szaflarski4Kristen O. Riley5Wolfgang Muhlhofer6James T. Houston7Department of Neurology, University of Alabama at Birmingham, AL, United States of America; Corresponding author at: Department of Neurology, Epilepsy Center, University of Alabama at Birmingham, CIRC 312 | 1719 6th Avenue South, |Birmingham, AL 35294, United States of America.Department of Neurology, University of Alabama at Birmingham, AL, United States of AmericaDepartment of Neurology, University of Alabama at Birmingham, AL, United States of AmericaDepartment of Neurology, University of Alabama at Birmingham, AL, United States of AmericaDepartment of Neurology, University of Alabama at Birmingham, AL, United States of AmericaDepartment of Neurosurgery, University of Alabama at Birmingham, AL, United States of AmericaDepartment of Neurology, University of Alabama at Birmingham, AL, United States of AmericaDepartment of Neurology, University of Alabama at Birmingham, AL, United States of AmericaWe present a unique case of a patient with drug-resistant focal epilepsy undergoing stereoelectroencephalography (sEEG) who developed an acute posttraumatic intracranial hemorrhage during monitoring, first detected by changes on sEEG. Our case demonstrates the evolution of electrographic changes at the time of initial hemorrhage to the development of ictal activity. We conducted spectral analysis of the sEEG data to illustrate the transition from an interictal to ictal state. Initially, delta power increased in the region of acute hemorrhage, followed by sustained regional reduction in frequency variability. Our findings provide further information on the development of epileptiform activity in acute hemorrhage. Keywords: Epileptogenesis, Traumatic brain hemorrhage, Stereo-EEGhttp://www.sciencedirect.com/science/article/pii/S2213323218301580 |
spellingShingle | Alexandra T. Issa Roach Diana Pizarro Hrishikesh D. Deshpande Sandipan Pati Jerzy P. Szaflarski Kristen O. Riley Wolfgang Muhlhofer James T. Houston Ictogenesis during sEEG evaluation after acute intracranial hemorrhage Epilepsy and Behavior Case Reports |
title | Ictogenesis during sEEG evaluation after acute intracranial hemorrhage |
title_full | Ictogenesis during sEEG evaluation after acute intracranial hemorrhage |
title_fullStr | Ictogenesis during sEEG evaluation after acute intracranial hemorrhage |
title_full_unstemmed | Ictogenesis during sEEG evaluation after acute intracranial hemorrhage |
title_short | Ictogenesis during sEEG evaluation after acute intracranial hemorrhage |
title_sort | ictogenesis during seeg evaluation after acute intracranial hemorrhage |
url | http://www.sciencedirect.com/science/article/pii/S2213323218301580 |
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