1. Epileptic seizures in multiple sclerosis: clinical and EEG correlations
- Author
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Salvatore Striano, P. Boccella, V. Brescia Morra, Giuseppe Orefice, C. Sarappa, Roberta Lanzillo, Pasquale Striano, G. Vacca, Striano, Pasquale, Orefice, Giuseppe, BRESCIA MORRA, Vincenzo, Boccella, P, Sarappa, C, Lanzillo, Roberta, Vacca, G, and Striano, Salvatore
- Subjects
Male ,Pediatrics ,Neurology ,etiology/pathology/physiopathology ,Action Potentials ,Electroencephalography ,Epilepsies ,Epilepsy ,Recurrence ,Secondary Prevention ,Age of Onset ,education.field_of_study ,medicine.diagnostic_test ,Brain ,General Medicine ,Middle Aged ,Magnetic Resonance Imaging ,physiology, Acute Disease, Adolescent, Adult, Age of Onset, Anticonvulsants ,pharmacology/therapeutic use, Brain ,pathology/physiopathology, Disease Progression, Electroencephalography, Epilepsies ,Partial ,etiology/pathology/physiopathology, Epilepsy ,diagnosis/etiology/physiopathology, Female, Humans, Interferon-beta ,pharmacology/therapeutic use, Magnetic Resonance Imaging, Male, Middle Aged, Multiple Sclerosis ,complications/diagnosis/physiopathology, Recurrence ,prevention /&/ control, Retrospective Studies ,diagnosis/etiology/physiopathology ,Psychiatry and Mental health ,Acute Disease ,Disease Progression ,Anticonvulsants ,Female ,Neurosurgery ,medicine.symptom ,Adult ,medicine.medical_specialty ,Multiple Sclerosis ,Adolescent ,Population ,Dermatology ,Status epilepticus ,pharmacology/therapeutic use ,pathology/physiopathology ,medicine ,Humans ,education ,Retrospective Studies ,business.industry ,Multiple sclerosis ,Symptomatic seizures ,Interferon-beta ,medicine.disease ,physiology ,complications/diagnosis/physiopathology ,prevention /&/ control ,Epilepsies, Partial ,Neurology (clinical) ,business - Abstract
Epileptic seizures occur more frequently in multiple sclerosis (MS) patients than in the general population. We evaluated clinical, electroencephalographic (EEG) and magnetic resonance imaging (MRI) findings, as well as EEG-MRI correlations and the response to antiepileptic drugs (AEDs) in 270 consecutive patients with definite MS referred to our Department from 1995 to 2002. Thirteen (4.8%) subjects experienced epileptic seizures. In four cases, seizures manifested within 1-2 years ("early-onset"), and in six cases within 8-23 years ("late-onset") of MS diagnosis. Seizures were usually partial with secondary generalization. Thus, acute symptomatic seizures occurred in three cases. Epilepsy usually appeared late in the course of disease, although a single episode or a cluster of seizures can represent the onset symptom or a relapse of MS. Prognosis of epilepsy during the course of MS is usually good but the choice of AEDs remains a matter of debate.
- Published
- 2003