A. Forti

Transcranial magnetic stimulation in epileptic patients Usefulness and safety

We studied 58 patients with partial or generalized epilepsy who had transcranial magnetic stimulation (TMS) of the brain motor regions. Short-term monitoring disclosed that the stimulation did not provoke seizures or EEG changes in any patient. Long-term follow-up disclosed that the epileptic condition was not made worse by TMS. TMS, as currently used for monitoring conduction in central motor pathways, does not induce seizures in drug-treated epileptic patients.

CT scan and surgical treatment of traumatic iliacus hematoma with femoral neuropathy: case report.

Iliacus hematoma should be suspected as the cause of femoral neuropathy in cases of minor trauma in teenagers, especially when the onset of paralysis is delayed and therefore an acute traction injury of the nerve is unlikely. In our 14-year-old female patient the condition followed minor trauma. In such cases CT scan should be performed. When this reveals a hematoma and the nerve lesion is rapidly progressing or complete, the hematoma should be promptly evacuated.

Transient global amnesia as a postictal state from recurrent partial seizures

Summary: A 60‐year‐old patient had a 3‐year history of recurrent memory disturbances. The video electroen‐cephalographic (EEG) recording of one attack showed that the amnesic state, which clinically resembled transient global amnesia, was characterized by a normal EEG tracing followed by electroclinical complex partial seizures. We suggest that “epileptic” transient global amnesia is postictal in nature.

Ulnar neuropathy due to a carpal ganglion The diagnostic contribution of CT

Clinical features and electrophysiologic studies indicated a lesion of the ulnar nerve in the wrist of a 50-year-old man. CT of this region revealed a ganglion inside Guyons canal. Surgical exploration disclosed a carpal ganglion compressing the ulnar nerve just proximal to its division.

Friedreich’s Ataxia. A Light- and Electron Microscopic Study of Peripheral Nerve Biopsies

Sural or superficial peroneal nerve biopsies of patients with clinical diagnosis of Friedreichs ataxia were studied. Patients were divided in two groups, typical and abortive forms: loss of fibers accompanied by axonal atrophy and segmental demyelination are the basic changes in both groups, although the decrease in number of myelinated fibers was most severe in typical FA. In the cases with slower progression there is a tendency to form onion bulb complexes.

Trigeminal neuralgia associated with contralateral intracranial tumour: a false localising sign caused by vascular compression? Report of two cases.

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Trigeminal and facial nerve involvement resulting from ischaemia of the petrosal branch of the middle meningeal artery.

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