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BACKGROUND Canadian provinces boast one of the most sophisticated telemedicine infrastructures in the world. Feasibility of epilepsy care through telemedicine is established, but its use by practicing neurologists is unknown. The Canadian League against Epilepsy's telemedicine task force conducted this study to understand the perceptions, barriers and usage(More)
Partial seizures of temporal origin can be associated with clinically significant tachycardia or bradycardia. Ictal bradycardia and asystole has been implicated in the etiology of sudden unexpected death in epileptic patients (SUDEP). Although symptomatic ictal bradycardia has been relatively well described in the literature; information on asymptomatic(More)
Intermittent photic stimulation (IPS) is an activating procedure meant to elicit or accentuate epileptiform discharges during an EEG. There is insufficient clinical data to advocate IPS in the routine EEGs of all adult patients. We therefore sought to address the clinical significance of routine IPS in the adult population. We retrospectively reviewed 100(More)
OBJECTIVE Our main objective was to use videoconferencing as a primary means to: a) assist in launching an epilepsy surgery program in Pakistan; 2) participate in case conferences on complex epilepsy patients in each country. METHODS Extensive testing using both point to point and bridged integrated service digital network (ISDN) and internet protocol(More)
BACKGROUND Ictal and postictal language dysfunction is common and strongly predictive of language laterality in monolingual patients. For bilingual patients, selective dysfunction has been reported for a single language with focal cerebral lesions, electrical brain stimulation, and intracarotid sodium amytal. METHODS Two right-handed Ukrainian-English(More)
Background. Developing countries, home to 80% of epilepsy patients, do not have comprehensive epilepsy surgery programs. Considering these needs we set up first epilepsy surgery center in Pakistan. Methods. Seventeen teleconferences focused on setting up an epilepsy center at the Aga Khan University (AKU), Karachi, Pakistan were arranged with experts from(More)
In the title compound, C(10)H(9)NO(4), the 2-hy-droxy-anilinic and the 4-oxobut-2-enoic acid groups are almost planar, with r.m.s. deviations of 0.0086 and 0.0262 Å, respectively. The dihedral angle between the two groups is 6.65 (1)°. Intra-molecular N-H⋯O, C-H⋯O and O-H⋯O hydrogen bonds form S(5), S(6) and S(7) ring motifs. In the crystal, the mol-ecules(More)
In the title compound, C(10)H(9)Cl(2)NO(3), inversion dimers occur due to pairs of inter-molecular O-H⋯O hydrogen bonds from the carboxyl groups forming R(2) (2)(8) loops. The dimers are linked into C(4) chains along the a axis by inter-molecular N-H⋯O links. A short intra-molecular C-H⋯O contact occurs in the mol-ecule.
A 54-year-old man presented with nonprogressive dysarthria due to isolated right hypoglossal nerve (HN) palsy. The cranial MRI reveals an ectatic right vertebral artery impinging on the cisternal segment of HN (figure). The hypoglossal-vertebral entrapment syndrome 1 occurs as the hypoglossal rootlets converge directly over the distorted vessel with(More)