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Scenario A 27-year-old man who had had seizures for over 15 years was being evaluated for possible invasive monitoring to define his epileptic focus in a more localized fashion. His hope, of course, was that a resectable focus could be…
Scenario A 33-year-old female with drug-resistant focal epilepsy presents for consideration of a vagus nerve stimulator to aid in seizure control. Seizures with change in awareness began at age 20, although upon questioning, she likely had focal aware seizures starting…
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Scenario A 27-year-old man had suffered from epilepsy since the age of 8. He had two types of seizures ultimately, one with generalized tonic-clonic behavior and the other with staring and brief rhythmic chewing type movements followed by slight left…
Scenario A 39-year-old man presented to the emergency room (ER) at his local hospital with obesity and severe localized pain in the right groin after doing some cleanup and sweeping in his garage the previous weekend. After examination by ER…
Scenario A 45-year-old woman presented in referral from a headache center with a long history of complex migraines and focal occipitoparietal head pain as well. The head pains seemed to be present all the time, or nearly so, while the…
Scenario A 37-year-old woman who had been in severe pain for over 4 years after three dental procedures was referred to the clinic. Two other oral surgeons and a pain physician who specializes in facial pain had seen her over…
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Scenario A 32-year-old woman had been involved in a farm equipment accident several years earlier and required reconstruction of her right upper extremity with multiple skin grafts and muscle transfers. She had lost one and a half fingers on her…
DBS in STN for Parkinson's disease Scenario A 64-year-old male with an 11-year history of Parkinson's disease and bilateral segmental lead Subthalamic nucleus (STN) Deep Brain Stimulation (DBS) electrodes and implantable pulse generators (IPGs) placed 2 weeks prior to the…