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...

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Main Authors: Alexandra T. Issa Roach, Diana Pizarro, Hrishikesh D. Deshpande, Sandipan Pati, Jerzy P. Szaflarski, Kristen O. Riley, Wolfgang Muhlhofer, James T. Houston
Format: Article
Language:English
Published: Elsevier 2019-01-01
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
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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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