Manifestações cursivas e gelásticas das epilepsias

Guerreiro, Carlos A. M.; Silveira, Diosely C.; Guerreiro, Marilisa M.

doi:10.1590/S0004-282X1987000400006

Resumos

Os autores descrevem dois pacientes com manifestações gelásticas e sete pacientes com manifestações cursivas de crises epilépticas, documentadas com eletrencefalograma intercrítico e tomografia computadorizada craniana. Todos os pacientes apresentavam crises parciais complexas seguidas ou não de crises tô-nico-clônicas generalizadas. Discutem o tema a respeito da fisiopatologia e questionam a importância nosológica destas formas de epilepsias.

Seven cases of cursive and two cases of gelastic manifestations of epileptic seizures are presented. The cases were documented with computerized tomography and electroencephalography (EEG). Most of pacients with cursive seizures showed temporal lobe epileptiform discharge in EEG. The authors discuss the theme in relation to pathophysiology and conclude that they are not a homogeneous group according to prognosis and nosology. Every case presented complex parcial seizures with or without tonic-clonic seizures.

Manifestações cursivas e gelásticas das epilepsias

Cursive and gelastic manifestations of epilepsy

Carlos A. M. Guerreiro^I; Diosely C. Silveira^II; Marilisa M. Guerreiro^I

^IProfessor Assistente - Departamento de Neurologia da Faculdade de Ciências Médicas da Universidade Estadual de Campinas (UNICAMP)

^IIPós-graduando - Departamento de Neurologia da Faculdade de Ciências Médicas da Universidade Estadual de Campinas (UNICAMP)

RESUMO

Os autores descrevem dois pacientes com manifestações gelásticas e sete pacientes com manifestações cursivas de crises epilépticas, documentadas com eletrencefalograma intercrítico e tomografia computadorizada craniana. Todos os pacientes apresentavam crises parciais complexas seguidas ou não de crises tô-nico-clônicas generalizadas. Discutem o tema a respeito da fisiopatologia e questionam a importância nosológica destas formas de epilepsias.

SUMMARY

Seven cases of cursive and two cases of gelastic manifestations of epileptic seizures are presented. The cases were documented with computerized tomography and electroencephalography (EEG). Most of pacients with cursive seizures showed temporal lobe epileptiform discharge in EEG. The authors discuss the theme in relation to pathophysiology and conclude that they are not a homogeneous group according to prognosis and nosology. Every case presented complex parcial seizures with or without tonic-clonic seizures.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

Departamento de Neurologia - Faculdade de Ciências Médicas, UNICAMP - Caixa Postal 1110 - 13080 - Campinas. SP - Brasil.

1. AMES, F.R. & ENDERSTEIN, O. - Ictal laughter: a case report with clinical, cinefilm, and EEG observations. J. Neurol. Neurosurg. Psychiat. 38:11, 1975.
2. BRENINGSTALL, G.N. - Gelastic seizures, precocious puberty, and hypothalamic hamartoma. Neurology 35:1180, 1985.
3. CHEN. R.C. & FORSTER, F.M. - Cursive epilepsy and gelastic epilepsy. Neurology 23:1019, 1973.
4. CURATOLO, P.; CUSMAI, R.: FINOCCHI, G. & BOSCHERINI, B. - Precocious puberty due to hypothalamic hamartoma. Dev. Med. Child Neurol. 26:509, 1984.
5. DONALDSON, I.M. - Volvular epilepsy, a distinctive and under reported seizure type. Arch. Neurol. 43:260, 1986.
6. DREYER, R. & WEHMEYER, W. - Fits of laughter (gelastic epilepsy) with a tumour of the floor of the third ventricle. J. Neurol. 214:163, 1977.
7. GASCON, G.G. & LOMBROSO, C.T. - Epileptic (gelastic) laughter. Epilepsia 12:63, 1971.
8. GLASSMAN, J.N.; DRYER, D. & McCARTNEY, J.R. - Complex parcial status epilepticus presenting as gelastic seizures: a case report. Gen. Hosp. Psychiat. 8:61, 1986.
9. GUMPERT, J.; HANSOTIA, P. & UPON, A. - Gelastic epilepsy. J. Neurol. Neurosurg. Psychiat. 33:479, 1970.
10. HOLMES, G.L.; DARDICK, K.R. & RUSSMAN, B.S. - Laughing seizures (gelastic seizures) in childhood. Clin. Pediatr. 19:295, 1980.
11. JACOME, D.E.; Mc LAIN, L.W. & FITZGEARLD, R. - Postural reflex gelastic seizures. Arch. Neurol. 37:249, 1980.
12. LEOPOLD, N.A. - Gaze: induced laughter. J. Neurol. Neurosurg. Psychiat. 40:815, 1977.
13. LOISEAU, P.; COHADON, F. & COHADON, S. - Gelastic epilepsy: a review and report of five cases. Epilepsia 12:313, 1971.
14. MAMI, C: TORTORELLA, G.; BARBERIO, G. & SCAFFIDI, M. - Epilepsia gelástica: presentazione di un caso. Min. Ped. 35:899, 1983.
15. MATUSTIK, M.C.; EISENBERG, H.M. & MEYER, N.J. - Precocious puberty. Amer. J. Dis. Child. 135:837, 1981.
16. MUTANI, R.; AGNETTI, V.; DURELLI, L.; FASSIO, F. & GANGA, A. - Epileptic laughter: electroclinical and cinefilm report of a case. J. Neurol. 220:215, 1979.
17. SETHI, P.K. & RAO, T.S. - Gelastic, quiritarian, and cursive epilepsy: a clinicopathological appraisal. J. Neurol. Neurosurg. Psychiat. 39:823, 1976.
18. SHER, P.K. & BROWN, S.B. - Gelastic epilepsy. Amer. J. Dis. Child. 130:1126, 1976.
19. WILLLANS, M.; SCHUTT, W. & SAVAGE, D. - Epileptic laughter with precocious puberty. Arch. Dis. Child. 53:965, 1978.

Datas de Publicação

Publicação nesta coleção
22 Jun 2011
Data do Fascículo
Dez 1987

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. AMES, F.R. & ENDERSTEIN, O. - Ictal laughter: a case report with clinical, cinefilm, and EEG observations. J. Neurol. Neurosurg. Psychiat. 38:11, 1975.

[2] 2. BRENINGSTALL, G.N. - Gelastic seizures, precocious puberty, and hypothalamic hamartoma. Neurology 35:1180, 1985.

[3] 3. CHEN. R.C. & FORSTER, F.M. - Cursive epilepsy and gelastic epilepsy. Neurology 23:1019, 1973.

[4] 4. CURATOLO, P.; CUSMAI, R.: FINOCCHI, G. & BOSCHERINI, B. - Precocious puberty due to hypothalamic hamartoma. Dev. Med. Child Neurol. 26:509, 1984.

[5] 5. DONALDSON, I.M. - Volvular epilepsy, a distinctive and under reported seizure type. Arch. Neurol. 43:260, 1986.

[6] 6. DREYER, R. & WEHMEYER, W. - Fits of laughter (gelastic epilepsy) with a tumour of the floor of the third ventricle. J. Neurol. 214:163, 1977.

[7] 7. GASCON, G.G. & LOMBROSO, C.T. - Epileptic (gelastic) laughter. Epilepsia 12:63, 1971.

[8] 8. GLASSMAN, J.N.; DRYER, D. & McCARTNEY, J.R. - Complex parcial status epilepticus presenting as gelastic seizures: a case report. Gen. Hosp. Psychiat. 8:61, 1986.

[9] 9. GUMPERT, J.; HANSOTIA, P. & UPON, A. - Gelastic epilepsy. J. Neurol. Neurosurg. Psychiat. 33:479, 1970.

[10] 10. HOLMES, G.L.; DARDICK, K.R. & RUSSMAN, B.S. - Laughing seizures (gelastic seizures) in childhood. Clin. Pediatr. 19:295, 1980.

[11] 11. JACOME, D.E.; Mc LAIN, L.W. & FITZGEARLD, R. - Postural reflex gelastic seizures. Arch. Neurol. 37:249, 1980.

[12] 12. LEOPOLD, N.A. - Gaze: induced laughter. J. Neurol. Neurosurg. Psychiat. 40:815, 1977.

[13] 13. LOISEAU, P.; COHADON, F. & COHADON, S. - Gelastic epilepsy: a review and report of five cases. Epilepsia 12:313, 1971.

[14] 14. MAMI, C: TORTORELLA, G.; BARBERIO, G. & SCAFFIDI, M. - Epilepsia gelástica: presentazione di un caso. Min. Ped. 35:899, 1983.

[15] 15. MATUSTIK, M.C.; EISENBERG, H.M. & MEYER, N.J. - Precocious puberty. Amer. J. Dis. Child. 135:837, 1981.

[16] 16. MUTANI, R.; AGNETTI, V.; DURELLI, L.; FASSIO, F. & GANGA, A. - Epileptic laughter: electroclinical and cinefilm report of a case. J. Neurol. 220:215, 1979.

[17] 17. SETHI, P.K. & RAO, T.S. - Gelastic, quiritarian, and cursive epilepsy: a clinicopathological appraisal. J. Neurol. Neurosurg. Psychiat. 39:823, 1976.

[18] 18. SHER, P.K. & BROWN, S.B. - Gelastic epilepsy. Amer. J. Dis. Child. 130:1126, 1976.

[19] 19. WILLLANS, M.; SCHUTT, W. & SAVAGE, D. - Epileptic laughter with precocious puberty. Arch. Dis. Child. 53:965, 1978.