"Acquired brain lesions can alter the anatomical pattern of epileptic susceptibility by selectively lowering or raising seizure thresholds in specific cerebral areas. Reactive seizures induced by nonspecific precipitating factors can have focal features when such lesions exist. For instance, cortical scars are common in alcoholics who have experienced multiple episodes of head trauma. When these scars are not sufficiently epileptogenic to cause spontaneous ictal events, they can generate focal seizures during alcohol withdrawal. These are reactive seizures and should not be considered evidence for a chronic focal epilepsy disorder ... Another common example is the elderly stroke patient with hemiparesis and a systemic toxic or metabolic insult. If the damaged brain has an elevated threshold for seizure generation or perhaps a decreased ability to generate motor manifestations of the seizure, ictal symptoms of a generalized reactive epileptic event can be limited to the side contralateral to the hemiparesis."
Quote Details
Added by wikiquote-import-bot
Unverified quote
0 likes
Original Language: English
Available Languages (1)
Sources
Jerome Engel in:
https://en.wikiquote.org/wiki/Epilepsy
Revision History
No revisions have been submitted for this quote.
Categories
Epilepsy
6 quotes on TrueQuotesView all quotes by Epilepsy →
Related Quotes
"There is high variability in the response to antiepileptic treatment across people with epilepsy. Genetic factors sig…"
"Studies have consistently shown that about one-half of cases tend to achieve prolonged seizure remission. However, mo…"
"Epilepsy is one of the most common serious brain conditions, affecting over 70 million people worldwide. Its incidenc…"
"Neurosurgery is an underutilized treatment that can potentially cure drug‐refractory epilepsy. Careful, multidiscipli…"
"Following an episode of autoimmune encephalitis, patients experience a variety of neurocognitive sequelae and are at …"
"Carbuncle is a confluent folliculitis that is affecting multiple s leading to multiple sinuses discharging pus. Optim…"
"He continued at work until March, 1853, when he had an accident—a fall while descending some steps. A few weeks later…"
"When the cook came in he was in a bad mood. He had a developing carbuncle on the back of his neck and the skin from t…"
"The starting-point of this lecturing trip around the world was Paris, where we had been living for a year or two. We …"
"A is a deep, necrotizing form of with involvement of the subcutaneous tissue. Several furuncles may coalesce to form …"