J 2014

Ictal and postictal semiology in patients with bilateral temporal lobe epilepsy

ŘEHULKA, Pavel, Irena DOLEŽALOVÁ, Eva JANOUŠOVÁ, Martin TOMÁŠEK, Petr MARUSIČ et. al.

Základní údaje

Originální název

Ictal and postictal semiology in patients with bilateral temporal lobe epilepsy

Autoři

ŘEHULKA, Pavel (203 Česká republika, garant), Irena DOLEŽALOVÁ (203 Česká republika), Eva JANOUŠOVÁ (203 Česká republika, domácí), Martin TOMÁŠEK (203 Česká republika), Petr MARUSIČ (203 Česká republika), Milan BRÁZDIL (203 Česká republika, domácí) a Robert KUBA (203 Česká republika, domácí)

Vydání

EPILEPSY & BEHAVIOR, San Diego, Academic Press INC Elsevier Science, 2014, 1525-5050

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30000 3. Medical and Health Sciences

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 2.257

Kód RIV

RIV/00216224:14110/14:00078424

Organizační jednotka

Lékařská fakulta

UT WoS

000346187700010

Klíčová slova anglicky

Epilepsy; Bitemporal; Bilateral temporal lobe epilepsy; Invasive EEG; Semiology; Postictal unresponsiveness

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 30. 1. 2015 09:56, Ing. Mgr. Věra Pospíšilíková

Anotace

V originále

Bilateral temporal lobe epilepsy is characterized by evidence of seizure onset independently in both temporal lobes. Themain aim of the present study was to determine whether patients with evidence of independent bilateral temporal lobe epilepsy (biTLE) can be identified noninvasively on the basis of seizure semiology analysis. Thirteen patients with biTLE, as defined by invasive EEG, were matched with 13 patients with unilateral temporal lobe epilepsy (uniTLE). In all 26 patients, the frequency of predefined clusters of ictal and periictal signs were evaluated: ictal motor signs (IMSs), periictalmotor signs (PIMSs), periictal vegetative signs (PIVSs), the frequency of early oroalimentary automatisms (EOAs), and the duration of postictal unresponsiveness (PU). Some other noninvasive and clinical data were also evaluated. A lower frequency of IMSs was noted in the group with biTLE (patients = 46.2%, seizures = 20.7%) than in the group with uniTLE (patients = 92.3%, seizures = 61.0%) (p = 0.030; p < 0.001, respectively). The individual IMS average per seizure was significantly lower in the group with biTLE (0.14; range = 0-1.0) than in the group with uniTLE (0.80; range = 0-2.6) (p = 0.003). Postictal unresponsiveness was longer than 5 min in more patients (75.0%) and seizures (42.9%) in the group with biTLE than in the groupwith uniTLE (patients = 30.8%, seizures= 18.6%) (p= 0.047; p= 0.002). The frequency of EOAs, PIMSs, PIVSs, and other clinical data did not differ significantly. There is a lower frequency of ictal motor signs and longer duration of postictal unresponsiveness in patients with biTLE. (C) 2014 Elsevier Inc. All rights reserved.

Návaznosti

ED1.1.00/02.0068, projekt VaV
Název: CEITEC - central european institute of technology