epilepsiaEpilepsy and paroxysmal conditionsЭпилепсия и пароксизмальные состояния2077-83332311-4088IRBIS LLCepilepsia-262Research ArticleORIGINAL ARTICLESОРИГИНАЛЬНЫЕ СТАТЬИCLINICAL SYMPTOMATOLOGY OF SEIZURES IN TEMPORAL EPILEPSYКЛИНИЧЕСКАЯ СЕМИОЛОГИЯ ПРИСТУПОВ ПРИ ВИСОЧНОЙ ЭПИЛЕПСИИОдинакМ. М.Odinak M.СвистовД. В.Svistov D.V.ПрокудинМ. Ю.Prokudin M.Yu.МартыновБ. В.Martynov B.V.СкибаЯ. Б.Skiba Ya.B.БазилевичС. Н.Bazilevich S.N.ЭльхассанМ. А.ElkhassanM. A.Military-medicine academy Name of Kirov (St.-Petersburg)Russian FederationВоенно-медицинская Академия имени С.М. Кирова (Санкт-ПетербургРоссияMilitary-medicine academy Name of Kirov (St.-Petersburg)Russian Federation201204092016423439Copyright © Odinak M. М.М., Svistov D.V. Д.В., Prokudin M.Yu. М.Ю., Martynov B.V. Б.В., Skiba Ya.B. Я.Б., Bazilevich S.N. С.Н., Elkhassan M.A., 20162016Одинак М.М., Свистов Д.В., Прокудин М.Ю., Мартынов Б.В., Скиба Я.Б., Базилевич С.Н., Эльхассан М.А.Odinak M. М.М., Svistov D.V. Д.В., Prokudin M.Yu. М.Ю., Martynov B.V. Б.В., Skiba Ya.B. Я.Б., Bazilevich S.N. С.Н., Elkhassan M.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.epilepsia.su/jour/article/view/262

Results of own investigations and literature review on clinical symptomatology of temporal epilepsy seizures are represented in the article. Analysis of 63 seizures in 32 patients showed that often during temporal epilepsy initial implications of seizures like aura, oral alimentary and hand automatisms, discontinuation of activities are present. High prognostic value for determination of epileptiform site lateralization in temporal epilepsy has combination of following clinical symptoms: automatism of hand at side of epileptogenic site and dystonic hand placement at the opposite side. Although, none of the clinical symptom alone can reflect epileptogenic site localization with absolute accuracy.

височная эпилепсияклиническая семиология приступовконцепция функциональных зонtemporallobeepilepsyconceptofcorticalzonetemporal epilepsyclinical symptomatology of seizuresconcept of functional zoneReferencesОдинак М.М. Эпилепсия: этиопатогенез, клиника, дифференциальная диагностика, медикаментозное лечение / М.М. Одинак, Д.Е. Дыскин. СПб.: Политехника. 1997; 234 с.Одинак М.М. Эпилепсия: этиопатогенез, клиника, дифференциальная диагностика, медикаментозное лечение / М.М. Одинак, Д.Е. Дыскин. СПб.: Политехника. 1997; 234 с.Одинак М.М. Функциональная нейровизуализация в эпилептологии / М.М. Одинак, Г.Е. Труфанов, С.Н. Базилевич, Д.Е. Дыскин, М.Ю. Прокудин, В.А. Фокин, А.В. Окользин, В.С. Декан. Эпилепсия. Под ред. Н.Г. Незнанова. СПб.: 2010; 960 с.Одинак М.М. Функциональная нейровизуализация в эпилептологии / М.М. Одинак, Г.Е. Труфанов, С.Н. Базилевич, Д.Е. Дыскин, М.Ю. Прокудин, В.А. Фокин, А.В. Окользин, В.С. Декан. Эпилепсия. Под ред. Н.Г. Незнанова. СПб.: 2010; 960 с.Карлов В.А. Эпилепсия у детей и взрослых женщин и мужчин: Руководство для врачей. М.: ОАО «Издательство «Медицина». 2010.Карлов В.А. Эпилепсия у детей и взрослых женщин и мужчин: Руководство для врачей. М.: ОАО «Издательство «Медицина». 2010.Мухин К.Ю. Височная эпилепсия. Журнал неврологии и психиатрии. 2000; 9: 48-57.Мухин К.Ю. Височная эпилепсия. Журнал неврологии и психиатрии. 2000; 9: 48-57.Эпилепсия и судорожные симптомы у детей: руководство для врачей. Под ред. П.А. Темина, М.Ю. Никаноровой. М.: Медицина. 1999; 656 с.Эпилепсия и судорожные симптомы у детей: руководство для врачей. Под ред. П.А. Темина, М.Ю. Никаноровой. М.: Медицина. 1999; 656 с.Commission on Classification and Terminology of the International League Against Epilepsy. Prosopal for revised clinical and electroencephalographic classification of epileptic seizures. Epilepsia. 1981; 22 (4): 489-501.Commission on Classification and Terminology of the International League Against Epilepsy. Prosopal for revised clinical and electroencephalographic classification of epileptic seizures. Epilepsia. 1981; 22 (4): 489-501.Commission on Classification and Terminology of the International League Against Epilepsy. Prosopal for revised classification of epilepsies and epileptic syndromes. Epilepsia. 1989; 30 (4): 389-399.Commission on Classification and Terminology of the International League Against Epilepsy. Prosopal for revised classification of epilepsies and epileptic syndromes. Epilepsia. 1989; 30 (4): 389-399.Dupont S. Association of isilateral motor automatisms and contralateral dystonic posturing / S. Dupont, F. Semah, P. Boon, J.-M. Saint-Hilaire, C. Adam, D. Broglin, M. Baulac. Arch. Neurol. 1999; 56: 927-932.Dupont S. Association of isilateral motor automatisms and contralateral dystonic posturing / S. Dupont, F. Semah, P. Boon, J.-M. Saint-Hilaire, C. Adam, D. Broglin, M. Baulac. Arch. Neurol. 1999; 56: 927-932.Garcia M. Ictal tachycardia: its discriminating potential between temporal and extratemporal seizures foci / Garcia M., D'Giano C., Estell s S., Leiguarda R.,Rabino wicz A. Seizure. 2001; 10 (6): 415-419 (abstract).Garcia M. Ictal tachycardia: its discriminating potential between temporal and extratemporal seizures foci / Garcia M., D'Giano C., Estell s S., Leiguarda R.,Rabino wicz A. Seizure. 2001; 10 (6): 415-419 (abstract).Gil-Nagel A. Ictal semiology in hippocampal versus extrahippocampal temporal lobe epilepsy / A. Gil-Nagel, M. W. Risinger. Brain. 1997; 120: 183-192.Gil-Nagel A. Ictal semiology in hippocampal versus extrahippocampal temporal lobe epilepsy / A. Gil-Nagel, M. W. Risinger. Brain. 1997; 120: 183-192.Epstein M.A. Cardiac rhythm during temporal lobe seizures / Epstein M. A., Sperling M. R.,O'Connor M. J. Neurology. 1992; 42 (1): 50-53 (abstract).Epstein M.A. Cardiac rhythm during temporal lobe seizures / Epstein M. A., Sperling M. R.,O'Connor M. J. Neurology. 1992; 42 (1): 50-53 (abstract).Di Gennaro G. Ictal heart rate increase precedes EEG discharge in drug-resistant mesial temporal lobe seizures / Di Gennaro G., Quarato P.P., Sebastiano F., Esposito V., Onorati P., Grammaldo L. G.,Meldolesi G. N. , Mascia A., Falco C., Scoppetta C., Eusebi F. , ManfrediM., Cantore G. Clin Neurophysiol. 2004; 115 (5): 1169-1177 (abstract).Di Gennaro G. Ictal heart rate increase precedes EEG discharge in drug-resistant mesial temporal lobe seizures / Di Gennaro G., Quarato P.P., Sebastiano F., Esposito V., Onorati P., Grammaldo L. G.,Meldolesi G. N. , Mascia A., Falco C., Scoppetta C., Eusebi F. , ManfrediM., Cantore G. Clin Neurophysiol. 2004; 115 (5): 1169-1177 (abstract).Hoffmann J.M. Analysis of the initial ictal phenomenon in patients with temporal lobe epilepsy / J.M. Hoffmann, C.E. Elger, A.A. Kleefuss-Lie. Seizure. 2010; 19: 217-221.Hoffmann J.M. Analysis of the initial ictal phenomenon in patients with temporal lobe epilepsy / J.M. Hoffmann, C.E. Elger, A.A. Kleefuss-Lie. Seizure. 2010; 19: 217-221.Lüders H.O. and Awad I. Conceptual considerations. In: H.O. Lüders (Ed.). Epilepsy Surgery. Raven Press. New York. 1992; pp. 51-62.Lüders H.O. and Awad I. Conceptual considerations. In: H.O. Lüders (Ed.). Epilepsy Surgery. Raven Press. New York. 1992; pp. 51-62.Maestro I. Oroalimentary automatism induced by electrical stimulation of the fronto-opercular cortex in a patient without automotor seizures. Epilepsy Behav. 2008;Maestro I. Oroalimentary automatism induced by electrical stimulation of the fronto-opercular cortex in a patient without automotor seizures. Epilepsy Behav. 2008;(2): 410-41216. Maillard L. Semiologic and electrophysiologic correlation in temporal(2): 410-41216. Maillard L. Semiologic and electrophysiologic correlation in temporallobe seizure subtypes / L. Maillard, J.-P. Vignal, M. Gavaret et al. Epilepsia; 45 (12): 1590-1599.lobe seizure subtypes / L. Maillard, J.-P. Vignal, M. Gavaret et al. Epilepsia; 45 (12): 1590-1599.Morrell M.J. Speech during partial seizures: intracranial EEG correlates / M.J. Morrell, C.A. Phillips, M.J.O Connor, M.R. Sperling. Epilepsia. 1991; 32 (6). P. 886-889. Newton M.R. Dystonia, clinical lateralization, and regional blood flow changes in temporal lobe seizures / M.R. Newton, S.F. Berkovic, M.C. Austin et al. Neurology. 1992; 42 (2): 371-377.Morrell M.J. Speech during partial seizures: intracranial EEG correlates / M.J. Morrell, C.A. Phillips, M.J.O Connor, M.R. Sperling. Epilepsia. 1991; 32 (6). P. 886-889. Newton M.R. Dystonia, clinical lateralization, and regional blood flow changes in temporal lobe seizures / M.R. Newton, S.F. Berkovic, M.C. Austin et al. Neurology. 1992; 42 (2): 371-377.Manford M. An analysis of clinical seizure patterns and their localizing value in frontal and temporal lobe epilepsies / M. Manford, D.R. Fish, S.D. Shorvon. Brain. 1996; 119: 17-40.Manford M. An analysis of clinical seizure patterns and their localizing value in frontal and temporal lobe epilepsies / M. Manford, D.R. Fish, S.D. Shorvon. Brain. 1996; 119: 17-40.Privitera M. Postictal language function / M. Privitera, K. K. Kimm. Epilepsy Behav. 2010; 19 (2): 140-145.Privitera M. Postictal language function / M. Privitera, K. K. Kimm. Epilepsy Behav. 2010; 19 (2): 140-145.Remi J. Ictal head turning in frontal and temporal lobe epilepsy / J. Remi, P. Wagner, O. Dwyer R., S. Cunha J.P., C. Vollmar, I. Krotofil, S. Noachtar. Epilepsia. 2011; 52 (8): 1447-1451.Remi J. Ictal head turning in frontal and temporal lobe epilepsy / J. Remi, P. Wagner, O. Dwyer R., S. Cunha J.P., C. Vollmar, I. Krotofil, S. Noachtar. Epilepsia. 2011; 52 (8): 1447-1451.Steinhoff B.J. The lateralizing value of ictal clinical symptoms in uniregional temporal lobe epilepsy / B.J. Steinhoff, M. Schindler, G. Herrendorf, C. Kurth, H.J. Bittermann, W. Paulus. Eur Neurol. 1998; 39 (2): 72-79.Steinhoff B.J. The lateralizing value of ictal clinical symptoms in uniregional temporal lobe epilepsy / B.J. Steinhoff, M. Schindler, G. Herrendorf, C. Kurth, H.J. Bittermann, W. Paulus. Eur Neurol. 1998; 39 (2): 72-79.Steinhoff B.J. Presurgical evaluation in patients with mesial temporal sclerosis / Presurgical assessment of the Epilepsies with clinical neurophysiology and functional imaging, Chapter 3.1. 2004.Steinhoff B.J. Presurgical evaluation in patients with mesial temporal sclerosis / Presurgical assessment of the Epilepsies with clinical neurophysiology and functional imaging, Chapter 3.1. 2004.

The authors declare that there are no conflicts of interest present.