ŘEHULKA, Pavel, Irena DOLEŽALOVÁ, Eva JANOUŠOVÁ, Martin TOMÁŠEK, Petr MARUSIČ, Milan BRÁZDIL and Robert KUBA. Ictal and postictal semiology in patients with bilateral temporal lobe epilepsy. EPILEPSY & BEHAVIOR. San Diego: Academic Press INC Elsevier Science, vol. 41, December, p. 40-46. ISSN 1525-5050. doi:10.1016/j.yebeh.2014.09.033. 2014.
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Basic information
Original name Ictal and postictal semiology in patients with bilateral temporal lobe epilepsy
Authors ŘEHULKA, Pavel (203 Czech Republic, guarantor), Irena DOLEŽALOVÁ (203 Czech Republic), Eva JANOUŠOVÁ (203 Czech Republic, belonging to the institution), Martin TOMÁŠEK (203 Czech Republic), Petr MARUSIČ (203 Czech Republic), Milan BRÁZDIL (203 Czech Republic, belonging to the institution) and Robert KUBA (203 Czech Republic, belonging to the institution).
Edition EPILEPSY & BEHAVIOR, San Diego, Academic Press INC Elsevier Science, 2014, 1525-5050.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30000 3. Medical and Health Sciences
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 2.257
RIV identification code RIV/00216224:14110/14:00078424
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1016/j.yebeh.2014.09.033
UT WoS 000346187700010
Keywords in English Epilepsy; Bitemporal; Bilateral temporal lobe epilepsy; Invasive EEG; Semiology; Postictal unresponsiveness
Tags EL OK, MP, RIV
Tags International impact, Reviewed
Changed by Changed by: Ing. Mgr. Věra Pospíšilíková, učo 9005. Changed: 30/1/2015 09:56.
Abstract
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.
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ED1.1.00/02.0068, research and development projectName: CEITEC - central european institute of technology
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