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Patient ..., born ...

This case report examines the medical history, seizure types, neurological findings, and diagnostic tests of a pediatric patient with seizures. It discusses potential initial insults, comorbidities, and proposed epilepsy surgery.

jkoehler
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Patient ..., born ...

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  1. Patient ..., born ... Case report

  2. History Family history: ... Perinatal risk factors: ... Potential initial insults: ... (febrile seizures, CNS inflammation, brain surgery, head trauma ...) Co-morbidity: ... Social history: ...

  3. Seizures / AED Age at seizure onset: ... Seizure frequency: ... History of status epilepticus: Y/N Longest seizure-free period: ... AED: (effective / ineffective) Current medication: ...

  4. Seizure types Try to list all seizure types from the patient‘s history, not only current or monitored seizures Short description would be better than a classification (or provide both) Don‘t miss description of auras! ... ... ... ...

  5. Neurological finding Normal / Abnormal: (hemiparesis, visual field defects, aphasia ...) Handedness: ... Other changes in general appearance: ... Neuropsychology: ... (done / not done, most important findings)

  6. Scalp EEG – video/EEG Interictal: ... (short summary) Ictal: ... (short summary) Semiology of monitored seizures: ... (specify only if different from seizure types above!) Video/EEG localization hypothesis: ... (if possible)

  7. Brain MRI Finding: ... (short summary) MRI localization hypothesis: ... (if possible)

  8. Other diagnostic tests For example: CT, fMRI, MR spectroscopy, PET, interictal/ictal SPECT, DSA, Wada test ... If done: ... (list at individual sheets) Finding: ... Localization hypothesis: ... (if possible)

  9. Summary Localization hypothesis may be provided in few items or use the table below (not necessary!)

  10. Epilepsy surgery proposal Type of surgery: ... (resective, disconnection, stimulation) Type of resective surgery (if indicated): ... (lesionectomy, extended lesionectomy, standardized resection, tailored resection, hemispherectomy ...) Planned intracranial EEG study: ... (none, intraoperative ECoG, long-term intracranial EEG ...) Open questions: ... (e.g., clarity of hypothesis, expected outcome, risks)

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