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hemimegalencephaly/seizures

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Hemimegalencephaly: Seizure Outcome in an Infant after Hemispherectomy.

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Isolated hemimegalencephaly (iHME) is a rare form of congenital malformation of cortical development characterized by enlargement of all or part of one cerebral hemisphere. It typically presents with intractable seizures, developmental delay, contralateral hemiparesis, and hemianopia. We report a

Progressive hemispheric shrinking in hemimegalencephaly: a possible role for seizure-related neuronal loss.

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Hemimegalencephaly (HME) is a developmental brain lesion consisting of a unilateral enlarged, dysplastic, and often highly epileptogenic cerebral hemisphere. Most patients exhibit early onset intractable seizures, status epilepticus, hemiplegia, hemianopsia, and developmental delay. Major surgical

Similar brain SPECT findings in subclinical and clinical seizures in two neonates with hemimegalencephaly.

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Brain single-photon emission computed tomography (SPECT) findings during clinical and subclinical seizures were compared in two neonates with hemimegalencephaly. Interictal and ictal brain SPECT were performed in two neonates. The ictal studies were performed during a clinical seizure in one neonate

Klippel-Trenaunay-Weber syndrome with partial motor seizures and hemimegalencephaly.

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A girl with Klippel-Trenaunay-Weber syndrome with partial motor seizures is reported. She had hemimegalencephaly and band heterotopia on MRI of the brain.

Progressively intractable seizures, focal alopecia, and hemimegalencephaly.

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We report a 3-year-old boy with the neurocutaneous combination of unilateral alopecia, ipsilateral hemimegalencephaly, and intractable seizures. He was born with an asymmetric hair pattern consisting of absent patches of hair, a small left eyebrow, and less eyelashes on the left eye; he had normal
The epidermal nevus syndrome (ENS) is a sporadic neurocutaneous disorder that consists of epidermal nevi and congenital anomalies involving the brain and other systems. From among over 60 patients with ENS presenting with neurologic manifestations, we identified 17 who had hemimegalencephaly based

Ictal SPECT with MRI fusion localizing a seizure focus in child with hemimegalencephaly and proteus syndrome.

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Surgical vs. medical treatment of seizures in hemimegalencephaly.

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Effectiveness of hemispherectomy in hemimegalencephaly with intractable seizures.

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Epilepsy surgery in epidermal nevus syndrome variant with hemimegalencephaly and intractable seizures.

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Accelerated myelination with motor system involvement in a neonate with immediate postnatal onset of seizures and hemimegalencephaly.

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The timetable for normal myelination in the developing brain on MRI is well described. Beyond the genetically determined myelination process, environmental or other incidental factors may modulate the actual myelination, globally or regionally. Delayed myelination is well known in many pathological

Seizure outcome after surgery for epilepsy due to malformation of cortical development.

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OBJECTIVE To explore seizure outcome after surgery for focal epilepsy due to malformation of cortical development (MCD), with focus on the role of MRI. METHODS Thirty-five patients who had surgery for intractable focal epilepsy due to MCD identified by preoperative MRI and confirmed by

[Clinical and electroencephalographic studies in children with hemimegalencephaly].

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Clinical and electroencephalographic (EEG) studies were performed in two children with hemimegalencephaly. The ages of seizure onset were 44 hours after birth in one infant and 33 days of postnatal life in the other patient. In both children, infantile spasms (IS) associated with hemihypsarrhythmia,

Hemimegalencephaly: diagnosis and treatment.

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Three boys with hemimegalencephaly are reported. Two suffered neonatal convulsions and the third presented with seizures at seven months. In each case the EEG was grossly abnormal, with spike and wave activity. All three have significant developmental delay and demonstrate other manifestations of

Hemimegalencephaly and normal intellectual development.

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Hemimegalencephaly is a rare congenital malformation characterised by overgrowth of one hemisphere. Although it is commonly thought to be associated with neurological deficits, developmental delay, and intractable epilepsy, the clinical expression of hemimegalencephaly, can vary widely. This patient
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