1 / 10

Patient ..., born ...

This case report examines the medical history, seizure types, neurological findings, and diagnostic tests of a pediatric patient with seizures. It discusses potential initial insults, comorbidities, and proposed epilepsy surgery.

jkoehler
Télécharger la présentation

Patient ..., born ...

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Patient ..., born ... Case report

  2. History Family history: ... Perinatal risk factors: ... Potential initial insults: ... (febrile seizures, CNS inflammation, brain surgery, head trauma ...) Co-morbidity: ... Social history: ...

  3. Seizures / AED Age at seizure onset: ... Seizure frequency: ... History of status epilepticus: Y/N Longest seizure-free period: ... AED: (effective / ineffective) Current medication: ...

  4. Seizure types Try to list all seizure types from the patient‘s history, not only current or monitored seizures Short description would be better than a classification (or provide both) Don‘t miss description of auras! ... ... ... ...

  5. Neurological finding Normal / Abnormal: (hemiparesis, visual field defects, aphasia ...) Handedness: ... Other changes in general appearance: ... Neuropsychology: ... (done / not done, most important findings)

  6. Scalp EEG – video/EEG Interictal: ... (short summary) Ictal: ... (short summary) Semiology of monitored seizures: ... (specify only if different from seizure types above!) Video/EEG localization hypothesis: ... (if possible)

  7. Brain MRI Finding: ... (short summary) MRI localization hypothesis: ... (if possible)

  8. Other diagnostic tests For example: CT, fMRI, MR spectroscopy, PET, interictal/ictal SPECT, DSA, Wada test ... If done: ... (list at individual sheets) Finding: ... Localization hypothesis: ... (if possible)

  9. Summary Localization hypothesis may be provided in few items or use the table below (not necessary!)

  10. Epilepsy surgery proposal Type of surgery: ... (resective, disconnection, stimulation) Type of resective surgery (if indicated): ... (lesionectomy, extended lesionectomy, standardized resection, tailored resection, hemispherectomy ...) Planned intracranial EEG study: ... (none, intraoperative ECoG, long-term intracranial EEG ...) Open questions: ... (e.g., clarity of hypothesis, expected outcome, risks)

More Related