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@article{1216841,
author = {Řehulka, Pavel and Doležalová, Irena and Janoušová, Eva and Tomášek, Martin and Marusič, Petr and Brázdil, Milan and Kuba, Robert},
article_location = {San Diego},
article_number = {December},
doi = {http://dx.doi.org/10.1016/j.yebeh.2014.09.033},
keywords = {Epilepsy; Bitemporal; Bilateral temporal lobe epilepsy; Invasive EEG; Semiology; Postictal unresponsiveness},
language = {eng},
issn = {1525-5050},
journal = {EPILEPSY & BEHAVIOR},
title = {Ictal and postictal semiology in patients with bilateral temporal lobe epilepsy},
url = {http://ac.els-cdn.com/S1525505014004697/1-s2.0-S1525505014004697-main.pdf?_tid=77ce08ac-9d90-11e4-a779-00000aacb362&acdnat=1421420633_ce85b6b9641f66c12a8efd81cec46dcc},
volume = {41},
year = {2014}
}
TY - JOUR
ID - 1216841
AU - Řehulka, Pavel - Doležalová, Irena - Janoušová, Eva - Tomášek, Martin - Marusič, Petr - Brázdil, Milan - Kuba, Robert
PY - 2014
TI - Ictal and postictal semiology in patients with bilateral temporal lobe epilepsy
JF - EPILEPSY & BEHAVIOR
VL - 41
IS - December
SP - 40-46
EP - 40-46
PB - Academic Press INC Elsevier Science
SN - 15255050
KW - Epilepsy
KW - Bitemporal
KW - Bilateral temporal lobe epilepsy
KW - Invasive EEG
KW - Semiology
KW - Postictal unresponsiveness
UR - http://ac.els-cdn.com/S1525505014004697/1-s2.0-S1525505014004697-main.pdf?_tid=77ce08ac-9d90-11e4-a779-00000aacb362&acdnat=1421420633_ce85b6b9641f66c12a8efd81cec46dcc
N2 - 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.
ER -
ŘEHULKA, Pavel, Irena DOLEŽALOVÁ, Eva JANOUŠOVÁ, Martin TOMÁŠEK, Petr MARUSIČ, Milan BRÁZDIL a Robert KUBA. Ictal and postictal semiology in patients with bilateral temporal lobe epilepsy. \textit{EPILEPSY \&{} BEHAVIOR}. San Diego: Academic Press INC Elsevier Science, 2014, roč.~41, December, s.~40-46. ISSN~1525-5050. Dostupné z: https://dx.doi.org/10.1016/j.yebeh.2014.09.033.
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