Clinical and eeg analysis of mesial and lateral temporal lobe seizures

The analysis of the temporal lobe seizures through video-EEG systems shows that they often consist of a sequence of clinical and EEG features which may suggest the localization and the lateralization of the epileptogenic lobe. We analyzed clinical and EEG features of 50 temporal lobe seizures which...

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Main Authors: FÁBIO GALVÃO DANTAS, ELZA MÁRCIA T. YACUBIAN, CARMEN L. JORGE, CHRISTIANE C. PEDREIRA, JOAQUIM F. BUENO, ROSA M. F. VALÉRIO
Format: Article
Language:English
Published: Academia Brasileira de Neurologia (ABNEURO) 1998-09-01
Series:Arquivos de Neuro-Psiquiatria
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1998000300001&tlng=en
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author FÁBIO GALVÃO DANTAS
ELZA MÁRCIA T. YACUBIAN
CARMEN L. JORGE
CHRISTIANE C. PEDREIRA
JOAQUIM F. BUENO
ROSA M. F. VALÉRIO
author_facet FÁBIO GALVÃO DANTAS
ELZA MÁRCIA T. YACUBIAN
CARMEN L. JORGE
CHRISTIANE C. PEDREIRA
JOAQUIM F. BUENO
ROSA M. F. VALÉRIO
author_sort FÁBIO GALVÃO DANTAS
collection DOAJ
description The analysis of the temporal lobe seizures through video-EEG systems shows that they often consist of a sequence of clinical and EEG features which may suggest the localization and the lateralization of the epileptogenic lobe. We analyzed clinical and EEG features of 50 temporal lobe seizures which were separated in group 1 with 25 patients (related to mesial temporal sclerosis) and group 2 with 25 patients (other neocortical temporal lesions). Among the auras, the epigastric type was the most frequent and predominated in group 1. There were differences between the two groups, considering dystonic and tonic posturing and versive head and eye movements. Dystonic posturing was always contralateral to the ictal onset and was considered the most useful lateralizing clinical feature. Ictal speech, spitting and blinking automatisms, prolonged disorientation for place and a greatest percentage of postictal language preservation occurred in right temporal seizures. Postictal aphasia and global disorientation predominated in left temporal seizures. EEG was important for lateralizing the epileptogenic lobe, specially considering rhythmic ictal activity and postictal findings.
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spelling doaj.art-d86017ea834b4d98bf309ccff1bab23e2022-12-22T04:12:14ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria1678-42271998-09-01563A34134910.1590/S0004-282X1998000300001Clinical and eeg analysis of mesial and lateral temporal lobe seizuresFÁBIO GALVÃO DANTASELZA MÁRCIA T. YACUBIAN0CARMEN L. JORGECHRISTIANE C. PEDREIRAJOAQUIM F. BUENOROSA M. F. VALÉRIOUniversidade de São PauloThe analysis of the temporal lobe seizures through video-EEG systems shows that they often consist of a sequence of clinical and EEG features which may suggest the localization and the lateralization of the epileptogenic lobe. We analyzed clinical and EEG features of 50 temporal lobe seizures which were separated in group 1 with 25 patients (related to mesial temporal sclerosis) and group 2 with 25 patients (other neocortical temporal lesions). Among the auras, the epigastric type was the most frequent and predominated in group 1. There were differences between the two groups, considering dystonic and tonic posturing and versive head and eye movements. Dystonic posturing was always contralateral to the ictal onset and was considered the most useful lateralizing clinical feature. Ictal speech, spitting and blinking automatisms, prolonged disorientation for place and a greatest percentage of postictal language preservation occurred in right temporal seizures. Postictal aphasia and global disorientation predominated in left temporal seizures. EEG was important for lateralizing the epileptogenic lobe, specially considering rhythmic ictal activity and postictal findings.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1998000300001&tlng=entemporal lobe epilepsycomplex partial seizuresvideo-EEG
spellingShingle FÁBIO GALVÃO DANTAS
ELZA MÁRCIA T. YACUBIAN
CARMEN L. JORGE
CHRISTIANE C. PEDREIRA
JOAQUIM F. BUENO
ROSA M. F. VALÉRIO
Clinical and eeg analysis of mesial and lateral temporal lobe seizures
Arquivos de Neuro-Psiquiatria
temporal lobe epilepsy
complex partial seizures
video-EEG
title Clinical and eeg analysis of mesial and lateral temporal lobe seizures
title_full Clinical and eeg analysis of mesial and lateral temporal lobe seizures
title_fullStr Clinical and eeg analysis of mesial and lateral temporal lobe seizures
title_full_unstemmed Clinical and eeg analysis of mesial and lateral temporal lobe seizures
title_short Clinical and eeg analysis of mesial and lateral temporal lobe seizures
title_sort clinical and eeg analysis of mesial and lateral temporal lobe seizures
topic temporal lobe epilepsy
complex partial seizures
video-EEG
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1998000300001&tlng=en
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