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Titolo:
THE POSTICTAL STATE IN EPILEPSY PATIENTS
Autore:
LEUTMEZER F; SERLES W; PATARAIA E; OLBRICH A; BACHER J; AULL S; ZEILER K; BAUMGARTNER C;
Indirizzi:
UNIV VIENNA,NEUROL KLIN,EPILEPSIE MONITORING UNIT,WAEHRINGER GUERTEL 18-20 A-1090 VIENNA AUSTRIA
Titolo Testata:
Wiener Klinische Wochenschrift
fascicolo: 11, volume: 110, anno: 1998,
pagine: 401 - 407
SICI:
0043-5325(1998)110:11<401:TPSIEP>2.0.ZU;2-5
Fonte:
ISI
Lingua:
GER
Soggetto:
COMPLEX PARTIAL SEIZURES; TEMPORAL-LOBE EPILEPSY;
Keywords:
POSTICTAL STATE; EPILEPSY; CLINICAL LATERALIZATION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
24
Recensione:
Indirizzi per estratti:
Citazione:
F. Leutmezer et al., "THE POSTICTAL STATE IN EPILEPSY PATIENTS", Wiener Klinische Wochenschrift, 110(11), 1998, pp. 401-407

Abstract

Epileptic seizures are followed by dynamic alterations in neurologic function in the postictal period which have received little attention by clinicians over a long period of time. We therefore retrospectivelystudied videotapes of 160 patients with focal epilepsy who underwent presurgical evaluation, for the occurrence of postictal symptoms to determine whether these phenomena have any localizing or lateralizing value in defining the seizure onset zone. Results: (1) We found postictal paresis in 22 of 160 patients (13,8%) in each case contralateral to the hemisphere of seizure onset. (2) 'Perseverative' automatisms whichstart during the ictus and continue in the postictal period occurred in 25.2% of 135 patients with temporal lobe epilepsy but not in patients with frontal lobe epilepsy. (3) Sexual automatisms defined as manipulations of the genitals were found exclusively in patients with temporal lobe epilepsy (in 5.9% of 135 patients). (4) Postictal 'Nose-wiping' was evident in 51.3% of 76 temporal lobe epilepsy patients but onlyin 12.0% of 25 extratemporal lobe epilepsy patients and was performedwith the hand ipsilateral to the hemisphere of seizure onset in 86.5%of all temporal lobe seizures. (5) Postictal language disturbances were observed only in patients with temporal lobe epilepsy (34% of 97 patients) and pointed to a seizure onset in the dominant hemisphere in 80.8%. We conclude that postictal phenomena can provide reliable information for the localization of the seizure onset zone in patients with complex partial seizures. Thus, more attention should be given to the postictal state during presurgical epilepsy monitoring.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 17/09/19 alle ore 22:44:35