Submission Guidelines. A 12 year-old girl with cafe-au-lait macules, lingual neurofibroma and eye movement deficit. A 4-year-old girl with longstanding developmental delay and new onset of seizures. A 2 year old boy with an acute febrile illness and a history of motor delay. A 12 month old boy with fever and bilateral leg weakness and right arm weakness. A 6 month old boy with steadily progressive hypertonicity, decreased oral intake, irritability, and regression.
Case Study 1: Epilepsy
CNS Case Studies
What are the Pitfalls in the Diagnosis of Epilepsy in the Elderly?
We arrived on scene to find a female staff member, of white British ethnicity sat on a stool, slumped to her right side. The patient was located in the middle of a busy grocery isle with customers still shopping around her. The patient was being held up and reassured by a colleague who had witnessed the event and was considerably distressed by the situation. The patient was not currently having a seizure. Upon our arrival, although lethargic and slurring her words, the patient was able to explain to us that she was a known epileptic, taking medication daily but had not suffered a seizure for a number of years.
In Maastricht in The Netherlands we have set up a multidisciplinary outpatient for treating children with epilepsy with the ketogenic diet. The children have three-monthly appointments and in between they and their parents are supported by phone or video consultation. Epilepsy is the most common neurological condition in children, consisting of unprovoked and recurrent seizures. The prevalence of active epilepsy is 5.