oregon/seizures

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Population-based analysis of sudden cardiac death with and without left ventricular systolic dysfunction: two-year findings from the Oregon Sudden Unexpected Death Study.

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OBJECTIVE We sought to evaluate the contribution of left ventricular (LV) dysfunction toward occurrence of sudden cardiac death (SCD) in the general population, and to identify distinguishing characteristics of SCD in the absence of LV dysfunction. BACKGROUND Patients who manifest warning symptoms

Changing over-the-counter ephedrine and pseudoephedrine products to prescription only: impacts on methamphetamine clandestine laboratory seizures.

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BACKGROUND Clandestine laboratory operators commonly extract ephedrine and pseudoephedrine-precursor chemicals used to synthesize methamphetamine-from over-the-counter cold/allergy/sinus products. To prevent this activity, two states, Oregon in 07/2006 and Mississippi in 07/2010, implemented

Relationship between seizure episode and sudden cardiac arrest in patients with epilepsy: a community-based study.

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BACKGROUND Among patients with epilepsy, sudden cardiac arrest (SCA) is a major cause of death. It is commonly thought that SCA in epilepsy occurs after a seizure, though the strength of evidence supporting this is limited. We sought to evaluate the relationship between seizures and SCA in patients

Psychiatric consequences of temporal lobectomy for intractable seizures: a 20-30-year follow-up of 14 cases.

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Between 1958 and 1968, 14 patients from the epilepsy clinic at the University of Oregon Hospitals and Clinics with a diagnosis of temporal lobe epilepsy (TLE) had a temporal lobectomy for medically intractable seizures. Nine of the 14 patients operated on remained seizure-free over the 20-30-year

Emergency department neuroimaging for epileptic seizures.

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OBJECTIVE To determine the frequency and yield of neuroimaging in patients with known seizure disorders presenting to the emergency department (ED) with recurrent (nonindex) seizures. METHODS We reviewed 822 consecutive ED visits for nonindex seizures at the Oregon Health & Science University and

Midazolam and diazepam for pediatric seizures in the prehospital setting.

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OBJECTIVE The objective of this study was to compare the efficacy and adverse events associated with the use of diazepam and midazolam for the treatment of pediatric seizures in the prehospital setting. METHODS This was a retrospective cohort study of all patients younger than 18 years treated for a

Meeting the needs of children whose parents have epilepsy.

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Improved treatment, changes in societal attitudes and repeal of restrictive laws have resulted in more people with epilepsy being able to pursue ordinary lives, including marriage and parenthood. When a parent continues to experience seizures, significant impact on the child may result. Changing

Extreme Risk Protection Orders to Reduce Firearm Violence.

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Many states have adopted risk-based, preemptive gun removal laws to reduce gun violence. In this column, the authors describe the general structure of these laws, consider arguments for and against them, and briefly review the evidence regarding their impact. As psychiatrists in a state that

Distinctive profile of sudden cardiac arrest in middle-aged vs. older adults: a community-based study.

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BACKGROUND While sudden cardiac arrest (SCA) rates increase with age, middle-aged adults (35-59 years) may comprise a significant proportion of SCA cases in the community (30-40%). However, there is a lack of studies evaluating SCA risk factors specifically associated with this age-group of the

Clinical review of clozapine treatment in a state hospital.

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Medical records of the first 37 patients to begin clozapine treatment at a state hospital in Oregon were reviewed for six months before clozapine treatment and six months after. Patients had a long history of schizophrenia and had responded poorly to antipsychotic medication. Clozapine treatment was

Planned Out-of-Hospital Birth and Birth Outcomes.

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BACKGROUND The frequency of planned out-of-hospital birth in the United States has increased in recent years. The value of studies assessing the perinatal risks of planned out-of-hospital birth versus hospital birth has been limited by cases in which transfer to a hospital is required and a birth

Marijuana use among patients with epilepsy at a tertiary care center.

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The expansion of medical and recreational marijuana legalization facilitates patient access to cannabis, and many patients with epilepsy pursue marijuana as a treatment for seizures. We administered a nine-item survey on marijuana use to patients seen in an epilepsy clinic over a 9 month period at a

Use of lumbar laminoplasty vs. laminotomy for transection of the filum terminale does not affect early complication rates or postoperative course.

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BACKGROUND Various techniques are used for spinal cord untethering. The purpose of this study was to compare patient characteristics, postoperative course, and early complications after laminotomy vs. laminoplasty for transection of the filum terminale for tethered cord

The potential for complete and durable response in nonglial primary brain tumors in children and young adults with enhanced chemotherapy delivery.

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OBJECTIVE Radiographic tumor response and survival were evaluated in the pediatric and young adult population with germ cell tumor, primary CNS lymphoma, or primitive neuroectodermal tumor receiving intra-arterial carboplatin- or methotrexate-based chemotherapy with osmotic blood-brain barrier

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