Table.
Demographic and neuropsychiatric characteristics | Seizure related findings | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
EEG findings | MRI findings | ||||||||||||
Case # | Sex | Age (y) | disability | SZ | neuropsych | Seizure type | IED | IS | BA | other | PMG | PNH | HIMAL |
Patients with epilepsy | |||||||||||||
1 | F | 23 | Borderline | ✓ | ADHD | GTCS and MS | 3–4Hz G-PWS | N | ✓ | ✓ | |||
2 | M | 58 | Mild | O | 2° GTCS | BT | S | ||||||
3 | M | 36 | Severe | ✓ | OCD | CPS and 2° GTCS | RT, LFC | S | |||||
4 | F | 19 | Mild | ✓ | OCD | CPS and 2° GTCS | G | S | ✓RFH | ✓ | |||
5 | M | 34 | Mild | ✓ | CPS and 2° GTCS | G | N | ✓LFH | ✓ | ||||
6 | F | 43 | Borderline | ✓ | CPS | BT | BT | N | ✓ | ✓LFH | |||
7 | M | 24 | mild | CPS | BF | S | |||||||
Patients without epilepsy | |||||||||||||
8 | F | 22 | Mild | MD | LFC | BF | N | ✓ | |||||
9 | F | 40 | Borderline | ✓ | BPQ | N | */WM | ||||||
10 | M | 20 | Borderline | BT | N | ** | |||||||
11 | M | 19 | Borderline | ✓ | N | ✓ | ✓ | ||||||
12 | M | 30 | Mild | ✓ | N | ✓ | ✓ | ||||||
13 | M | 34 | Mild | ✓ | G | N | ✓ | ||||||
14 | F | 20 | Mild | MD | N | ✓ | |||||||
15 | F | 37 | Borderline | MD, GAD | N | ||||||||
16 | F | 26 | Borderline | MD | N | ✓ | |||||||
17 | M | 21 | Normal | ASD | N | ✓ | ✓ | ||||||
18 | M | 37 | Borderline | ✓ | S | ✓ | |||||||
19 | M | 37 | Borderline | ✓ | OCD | S |
All patients with schizophrenia (SZ) or other psychotic illnesses were receiving antipsychotic medications. Patients with major depression and/or anxiety disorders were receiving antidepressant/antianxiety medications. All patients were either treated for documented hypocalcemia or received prophylactic vitamin D and calcium supplements for the elevated risk of hypocalcemia in 22q11DS.
hipocampal atrophy;
focal scarring over right mid-temporal gyrus;
: psychosis not otherwise specified; 2° GTCS: secondarily generalized tonic-clonic seizures; ADHD: attention deficit hyperactivity disorder; ASD: autism spectrum disorder; BA: background activity; BF: bi-frontal; BPQ: both posterior quadrants; BT: bi-temporal; CPS: complex partial seizures; EEG: electroencephalogram; G: generalized; GAD: generalized anxiety disorder; G-PSW: generalized polyspike and waves; GTCS: generalized tonic-clonic seizures; HIMAL: hippocampal malrotation; IED: interictal epileptiform discharges; IS: intermittent slowing; LFC: left fronto-central; LFH: left frontal horn MD: major depression; MRI: magnetic resonance imaging; MS: myoclonic seizures; N: Normal; OCD: obsessive compulsive disorder; PMG: polymicrogyira; PNH: periventricular nodular heterotopia; RFH: right frontal horn; RT: right temporal; S: slow; SZ: schizophrenia, WM: white matter.