Re: Seizures

Posted By CCF Neurology MD on October 03, 1997 at 13:07:42:

In Reply to: Seizures posted by Nayla Belen on September 30, 1997 at 21:52:06:







: Hello :
I'm the father of Nayla , she has seizures that began in January 1997 ,
She was medicated with Tegretol , and the seizures stopped.
We have made her a MRI and EEG sleep , and appears an angioma venous in  the right fronto-parietal zone , and no evidences in cefalic parenquima .
One doctor suggests to make a cateterism to know the dynamic of blood in this zone. Another doctor says us  that isn't possible that this angioma is the cause of her seizures ; but this is because the seizures are caused by displasia .
Who has the reason ? It's possible that an angioma venous that now is very , very small , becomes in a cavernoma?
Please answer me !!! A Father
Ricardo Foschia
EMail = ***@****  




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Dear Nayla:
It is nice to know that your daughter's seizures have stopped. The cause of the seizures is unclear from your question. Venous angiomas are a benign and incidental finding on MRi; most experts believe that these malformations usually do NOT cause seizures or hemorrhage, and that they do not require treatment. Cavernous angiomas are different from venous angiomas, and frequenly cause seizures, or hemorrhage. Cavernous angiomas are usually diagnosed by characteristic MRI findings; the angiogram is usually unrevealing. To my knowledge, venous angiomas do not transform or evolve into cavernous angiomas.
Cortical dysplasia is a common cause of seizures in childhood. It may or may not be visible on MRI, depending upon the quality and resolution.
One cannot necessarily attribute the origin of epilepsy to an abnormality seen on MRI. Additional electrophysiological evidence is usually necessary to demonstrate this connection.
Well-controlled seizures may or may not necessiate the the kind of epilepsy work-up we are discussing.
The Cleveland Clinic boasts of one of the finest epilepsy departments in the world. If it is practical for your daughter to come to Cleveland for another opinion, I am sure that pediatric epileptologists at the Clinic (Drs. Wyllie and Kotagal) would be very glad to see her. You could call [phone] for an appointment.
Good luck!