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Background&Objective: Status epilepticus (SE) is an emergency situation for the neurologist as for the critical care physician, because it is caused by a focal or by a generalized sever brain suffering. The aim of this study is determine of the etiology of SE, the causes of mortality and the efficancy of side- effect on the mortality of SE. Materials&Methods: In this retrospective and prospective study that was done in ICU department of Tabriz Imam Khomeini hospital (1990-04). 50 cases of mortality from 176 cases of SE were present. Informations were obtained by finding documented. Results: Acute mortality associated with SE in this study was 35.2%.Mortality rate in patient older than 60 years, in females, in Tonic- Clonic and in >1h SE was highest. Lead was the most important causes of SE and it's mortality (26/4%). Aspirative pneumonia was the most important complication of SE (48%). 28% of patients had previous epilepsy and 4% had pervious status epilepticus. The most common complication that effect on short term mortality was long infections. Conclusion: The mortality rate in this study is more than other studies that is in result of delay reference to therapeutic centers or insufficient acquaintance of personnel with correct management of SE. low antiepileptic drug level or give up their usage is the most common causes of mortality that is in result of high prevalence of them in SE's incidence.

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Background and Objective: Temporal lobe epilepsy is the most common type of epilepsy in human. Patients suffer from spontaneous seizures and memory deficiency. This study was done to assess the effect of Co-enzyme Q10 (CoQ10) administration on seizure, short-term spatial memory and stress oxidative indices in hippocampus of kainic acid-induced epilepsy. Methods: In this experimental study, 48 male rats were randomly allocated into six groups: sham-operated CoQ10 (10 mg/kg/bw)-treated SH kainate CoQ10 (2, 5 and 10 mg/kg/bw) treated kainic acid. CoQ10 was intraperitoneally administered daily for one week before intra-hippocampal injection of kainic acid (4µg/kg/bw) in animals. Results: Kainic acid induced chronic and acute spontaneous seizures in animals. Also, kainic acid administration caused a reduction in alternational behavior rate (consecutive or serially entrance into all of arms in triplet set), increasing of malondialdehide, nitrite level and decreasing of superoxide dismutase activity compared to sham group (P<0.05). Pre-treatment of kainate rats with CoQ10 decreased rate of spontaneous seizures (P<0.05). CoQ10 increased alternational behavior rate, decreased malondialdehide and nitrite serum level (P<0.05). But it had no significant effect on superoxide dismutase activity. Conclusion: Pre-treatment of kainic acid exposed rats with CoQ10 reduced rate of seizures and improved short-term spatial memory and oxidative stress indices in rats.

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Background and Objective: Hippocampus is the main region in cortex of the brain that involved in epilepsy. This study was done to determine the effect of intraventricular injection of vitamin C on histological structure of dentate gyrus of hipocampus in adult male epileptic rats.

Methods: In this experimental study, 40 adult male rats were randomly allocated into 5 groups (n=8). Animals in three groups were received vitamin C at dose (12.5, 25 and 50 mg/kg/bw) during 28 days, intraventricularly after were kindled by (pentylentetrazol; 40 mg/kg). Animals in forth group were received normal saline after were kindled by (pentylentetrazol; 40 mg/kg). Animals in the fifth group were received normal saline. After 28 days, rats were anesthetized by ketamin, then structure of hypocamp dissected. Histological passage was done in samples and coronal section was carried out. The sections of samples were stained by Hematoxyline-eosin. Forty fields systematicly were counted the normal neurons in dentate gyrus. Morphological change was determined by immunohistochemical method.

Results: The mean  number of normal neurons in dentate gyrus in epileptic rats which  received 25 g/kg vitamin C was more than animals in groups which were received doses of 12.5, 25 and 50 mg/kg vitamin C (P<0.05). This mean number of normal neurons in dentate gyrus of hypocamp in epileptic rats which received normal saline was lower than control and other experimental groups (P<0.05). Extensive morphological change in neurons of dentate gyrus in epileptic rats which received normal saline were observed (P<0.05). The lowest  morphological change were observed in neurons of dentate gyrus in epileptic rats which received at dose 25 mg/kg vitamin C in compared to the other groups (P<0.05).

Conclusion: Intraventricular injection of vitamin C in epileptic rat's dose dependly had neuroprotective effect on dentate gyrus neurons.

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Acute necrotizing encephalopathy (ANEC) is a rare illness with high incidence in East Asia. It is accompanied with respiratory infection, gastrointestinal infections, and high fever with quick impaired consciousness, and convulsion. In this case report, Turkmen 6 month's girl that was introduced after an infection with no disease or clinical abnormalities. She was vaccinated accordingly; initially she had fever with generalized tonic-clonic convulsion (seizures) for 5 to 10 minutes level of consciousness decreased later on. She was transferred to Talghani Medicat Education center in nortern Iran. At the time of admition her vital signs were as below: RR: 30, GCS: 8-9, RP: 110, BP: 90/80. In the patient's history, there was neither Trauma history, nor food or drug poisoning, also no clinical history. After convulsion, the level of consciousness decreased and serum biochemistry showed normal electrolytes concentration. In further follow - up, AST increased to 98 units, ALT to 58 units, and ammonium to 215 units. In CSF Sample, protein level increased to 330 units, without any avidences of pleocytosis, blood, or Serum glucose drop. In CT without contract, hypodensity the cornea in thalamus and caudate cores were seen in 2 sides. The ventricles were normal and there were no signs of bleeding and pressure. In brain M.R.I, abnormal signal in 2 sides, blood samples cultivation, CSF, and testing urine for bacterial infection were negative. The patient was diagnosed with necrotizing encephalopathy and subsequently was treated with metyle prednisolone (20 mg daily). During hospitalization, level of consciousness increased and fever stopped. There was not recurrence of convulsion, but the patients still had some problems in moving, verbal and communication.

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Background and Objective: Temporal lobe epilepsy is characterized by the degeneration of hippocampal neurons and the sprouting of mossy fibers in the dentate area. This study aimed to investigate the impact of the hydroalcoholic extract of Rosa damascene on hippocampal tissue changes induced by kainic acid-induced epilepsy in rats.
Methods: In this experimental study, 28 male Wistar rats weighing between 185-225 grams were used. The animals were divided into four groups: sham group, sham treated with hydroalcoholic extract, epilepsy (kainic acid), and epilepsy pretreated with hydroalcoholic extract. Kainic acid was used for intra-hippocampal and unilateral injection to induce epilepsy in the animals at 0.8 micrograms per rat. The rats were given 500 mg/kg of the extract intraperitoneally daily for one week before surgery. Five weeks after surgery, thionin and Tim staining methods were performed on the hippocampal slices.
Results: Kainic acid-induced epilepsy resulted in convulsive behavior, and pretreatment with the hydroalcoholic extract significantly reduced the intensity of convulsive attacks (P<0.05). The density of neurons in the CA3 area of the hippocampus in the kainic acid group showed a significant decrease compared to the sham group (P<0.05), while pretreatment with the extract caused a significant increase in the number of neurons in this area compared to the kainic acid group. Additionally, a significant increase in the intensity of mossy fiber sprouting was observed in epileptic rats compared to the sham group, and pretreatment with the extract significantly decreased its intensity (P<0.05).
Conclusion: The pre-treatment with the hydroalcoholic extract of Rosa damascena decreased convulsive behavior, protected hippocampal CA3 neurons and reduced the intensity of sprouting in the hippocampal dentate region in the experimental model of temporal lobe epilepsy induced by kainic acid.
 

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Background and Objective: Helicobacter pylori infection is a chronic bacterial infection in humans, and its link to epilepsy has been reported in some studies. This study was conducted to compare the frequency of Helicobacter pylori infection in patients with and without epilepsy.
Methods: This case-control study was conducted on 234 patients with focal and generalized epilepsy (the case group consisted of 88 males and 146 females) referring to Alavi Hospital in Ardabil, Iran and 234 individuals without epilepsy (the control group consisted of 88 males and 146 females) during 2019. Stool samples were taken from the subjects to assess the Helicobacter pylori stool antigen. Demographic information, including age, gender, place of residence, a history of alcohol, cigarette, hookah, and opium use, and the test result of the Helicobacter pylori stool antigen, were collected in a checklist.
Results: The frequency of Helicobacter pylori infection was determined to be 67.2% in the case group and 71.1% in the control group, and no statistically significant difference was found between the case and control groups. Cigarette and opium use had statistically significant relationships with epilepsy (P<0.05). Moreover, opium users had a 6.92 times higher odds rate (OR) of contracting Helicobacter pylori infection than other individuals (CI 95%=1.05-45, OR=6.92, P<0.04).
Conclusion: No difference was observed in Helicobacter pylori infection between individuals with and without epilepsy.