CLINICAL LATERALIZING SIGNS IN SYMPTOMATIC TEMPORAL LOBE EPILEPSY

Abstract: the article presents a review of world literature on significance of various clinical lateralizing signs in temporal lobe epilepsy, such as dystonic posturing, limb automatisms, ictal and postictal aphasia, ictal nystagmus, head turning, periiktal headache, etc. The results of current rese...

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Main Authors: M. A. Nikitina, K. Yu. Mukhin, L. Yu. Glukhova, V. A. Chadaev, E. I. Barletova
Format: Article
Language:Russian
Published: IRBIS LLC 2016-05-01
Series:Эпилепсия и пароксизмальные состояния
Subjects:
Online Access:https://www.epilepsia.su/jour/article/view/35
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author M. A. Nikitina
K. Yu. Mukhin
L. Yu. Glukhova
V. A. Chadaev
E. I. Barletova
author_facet M. A. Nikitina
K. Yu. Mukhin
L. Yu. Glukhova
V. A. Chadaev
E. I. Barletova
author_sort M. A. Nikitina
collection DOAJ
description Abstract: the article presents a review of world literature on significance of various clinical lateralizing signs in temporal lobe epilepsy, such as dystonic posturing, limb automatisms, ictal and postictal aphasia, ictal nystagmus, head turning, periiktal headache, etc. The results of current research are compared with previously published reports. The ictal dystonic unilateral limb posturing (possibly isolated in a hand, foot, predominantly in distal parts of limbs) is still one of the most informative lateralizing signs and it is lateralized in contralateral hemisphere in 100% of cases. It is shown that the “early” and “late” head turning, and unilateral limb automatisms are the most important and convincing lateralizing signs, which must be considered in connection with the EEG data to determine the epileptogenic focus in patients with temporal lobe epilepsy.
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spelling doaj.art-733621f58a5442259d1a89bb9480448a2023-03-13T07:44:13ZrusIRBIS LLCЭпилепсия и пароксизмальные состояния2077-83332311-40882016-05-0161859034CLINICAL LATERALIZING SIGNS IN SYMPTOMATIC TEMPORAL LOBE EPILEPSYM. A. Nikitina0K. Yu. Mukhin1L. Yu. Glukhova2V. A. Chadaev3E. I. Barletova4Svt. Luka’s Institute of Child Neurology and Epilepsy, MoscowSvt. Luka’s Institute of Child Neurology and Epilepsy, MoscowSvt. Luka’s Institute of Child Neurology and Epilepsy, MoscowSvt. Luka’s Institute of Child Neurology and Epilepsy, Moscow; The Russian National Research Medical University named after N.I. Pirogov of the Ministry of Health of the Russian Federation, MoscowSvt. Luka’s Institute of Child Neurology and Epilepsy, MoscowAbstract: the article presents a review of world literature on significance of various clinical lateralizing signs in temporal lobe epilepsy, such as dystonic posturing, limb automatisms, ictal and postictal aphasia, ictal nystagmus, head turning, periiktal headache, etc. The results of current research are compared with previously published reports. The ictal dystonic unilateral limb posturing (possibly isolated in a hand, foot, predominantly in distal parts of limbs) is still one of the most informative lateralizing signs and it is lateralized in contralateral hemisphere in 100% of cases. It is shown that the “early” and “late” head turning, and unilateral limb automatisms are the most important and convincing lateralizing signs, which must be considered in connection with the EEG data to determine the epileptogenic focus in patients with temporal lobe epilepsy.https://www.epilepsia.su/jour/article/view/35epilepsytemporal lobe epilepsylateralizationvideo-eeg monitoringeegseizure semiologypartial seizures
spellingShingle M. A. Nikitina
K. Yu. Mukhin
L. Yu. Glukhova
V. A. Chadaev
E. I. Barletova
CLINICAL LATERALIZING SIGNS IN SYMPTOMATIC TEMPORAL LOBE EPILEPSY
Эпилепсия и пароксизмальные состояния
epilepsy
temporal lobe epilepsy
lateralization
video-eeg monitoring
eeg
seizure semiology
partial seizures
title CLINICAL LATERALIZING SIGNS IN SYMPTOMATIC TEMPORAL LOBE EPILEPSY
title_full CLINICAL LATERALIZING SIGNS IN SYMPTOMATIC TEMPORAL LOBE EPILEPSY
title_fullStr CLINICAL LATERALIZING SIGNS IN SYMPTOMATIC TEMPORAL LOBE EPILEPSY
title_full_unstemmed CLINICAL LATERALIZING SIGNS IN SYMPTOMATIC TEMPORAL LOBE EPILEPSY
title_short CLINICAL LATERALIZING SIGNS IN SYMPTOMATIC TEMPORAL LOBE EPILEPSY
title_sort clinical lateralizing signs in symptomatic temporal lobe epilepsy
topic epilepsy
temporal lobe epilepsy
lateralization
video-eeg monitoring
eeg
seizure semiology
partial seizures
url https://www.epilepsia.su/jour/article/view/35
work_keys_str_mv AT manikitina clinicallateralizingsignsinsymptomatictemporallobeepilepsy
AT kyumukhin clinicallateralizingsignsinsymptomatictemporallobeepilepsy
AT lyuglukhova clinicallateralizingsignsinsymptomatictemporallobeepilepsy
AT vachadaev clinicallateralizingsignsinsymptomatictemporallobeepilepsy
AT eibarletova clinicallateralizingsignsinsymptomatictemporallobeepilepsy