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It was only in 1980 that the first recognisable magnetic resonance
images of the human brain were published, by Moore and Holland from
Nottingham University in England. There then followed a number of
clinical trials of brain imaging, the most notable from the
Hammersmith Hospital in London using a system designed by EMI, the
original manufacturers of the first CT machines. A true revolution
in medicine has ensued; in only a few years there are thousands of
scanning units, and magnetic resonance imaging (MRI) has assumed a
central importance in medical investigation. It is an extraordinary
fact that within a few years of development, the esoteric physics
of nuclear spin, angular momentum, and magnetic vector precession
were harnessed to provide exquisite images of living anatomy; modem
science has no greater tribute. That indisputable king of neurology
and the oldest of recorded conditions, epilepsy, has not been
untouched by the new technology; indeed, it is our view that the
introduction of MRI of electroencephalography (EEG) in the late has
been as important to epilepsy as was that 1930s. Now, for the first
time, the structural and aetiological basis of the condition is
susceptible to thorough investigation, and MRI can provide
structural detail to parallel the functional detail of EEG. MRI has
the same potential as had EEG over 50 years ago, to provide a new
level of understanding of the basic mechanisms, the clinical
features and the treatment of epilepsy.
Coeliac disease may be manifested by gastrointestinal symptoms, or
be silent, latent or 'potential'. It may also be present with
dermatitis herpetiformis, dental enamel defects or neurological
disorders - especially epilepsy. In the case of the latter symptoms
these appear mostly in relation to occipital seizures, frequently
intractable. This book examines these, and other neurological
manifestations. This book brings together many of the results of
the investigations and opinions of the world's leading researchers
in the fields of neurology, psychiatry, internal medicine,
gastroenterology, immunology, genetics and imaging.
A comprehensive international review of basic and clinical research
based on the Mariani Foundation Colloquium on frontal lobe epilepsy
in childhood and adolescence held at the Milan State University in
October 2000. Distinguished authors discuss advances in
neurogenetics, neuropsychology and imaging. This book describes
clinical, electroencephalographic and neuroimaging patterns of
frontal lobe epilepsy in detail and reviews advances in medical and
surgical treatment. It will be useful and stimulating reading for
pediatric and adult epilepsy specialists, psychiatrists,
neuropsychologists and other behavioural scientists, and research
workers in epileptology.
Thanks to advanced imaging techniques, it is now possible to
recognise in vivo structural alterations of the cortex leading in
many patients to epileptic syndromes, frequently resistant to
pharmacological treatment. Areas analysed in this book are:
mechanisms of cortical development; animal models of neuronal
migration disorders mimicking human pathology; electroclinical,
neuroradiological and neuropathological studies of the different
forms of cortical dysplasia. This volume includes contributions
from neurologists, epileptologists, neuropaediatricians as well as
paediatricians and neuroscientists, stimulating a multidisciplinary
discussion to improve diagnostic and therapeutic strategies.
This volume is devoted to a particular facet of infantile epilepsy,
Occipital Seizures and Epilepsies. That an epileptogenic process
common to all ages manifests itself differently according to the
stages of cerebral evolution suggests that a deeper investigation
of these age-dependent epilepsies and their related conditions is
necessary. Findings of basic sciences in epileptogenicity are
compared with clinical data and developed towards practical
applications of general interest, such as the fundamental
differential diagnosis between occipital seizures and migrainous
attacks.Since the normal maturation of the brain in the post-natal
period largely depends on early sensory-motor experience,
particularly visual functions, it is essential to consider research
maturation of visual systems, as it may offer stimulating insights
into the peculiarities of these 'epileptic syndromes' which
represent a model for the study of the child's epilepsy. Though
dealing with a particular problem in pediatric neurology, they
point to a general process in human biology.
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