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CLINICAL LATERALIZING SIGNS IN SYMPTOMATIC TEMPORAL LOBE EPILEPSY

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Abstract

The article presents a review of world literature on significance of various clinical lateralizing signs in temporal lobe epilepsy, such as dystonic posturing, limb automatisms, ictal and postictal aphasia, ictal nystagmus, head turning, periiktal headache, etc. The results of current research are compared with previously published reports. The ictal dystonic unilateral limb posturing (possibly isolated in a hand, foot, predominantly in distal parts of limbs) is still one of the most informative lateralizing signs and it is lateralized in contralateral hemisphere in 100% of cases. It is shown that the "early" and "late" head turning, and unilateral limb automatisms are the most important and convincing lateralizing signs, which must be considered in connection with the EEG data to determine the epileptogenic focus in patients with temporal lobe epilepsy.

About the Authors

M. A. Nikitina
Saint Luke’s institute of pediatric neurology and epilepsy, Moscow
Russian Federation

Nikitina Marija Aleksandrovna – neurologist. 

Address: Vesennyaya str., 16, Puchkovo vil., Moscow, Russia, 143397. 



K. Yu. Mukhin
Saint Luke’s institute of pediatric neurology and epilepsy, Moscow
Russian Federation

Muhin Konstantin Jur'evich – MD, prof., the chief. 

Address: Vesennyaya str., 16, Puchkovo vil., Moscow, Russia, 143397. 



L. Yu. Glukhova
Saint Luke’s institute of pediatric neurology and epilepsy, Moscow
Russian Federation

Gluhova Larisa Jur'evna – PhD, ass. prof., head of the laboratory of sleep and epilepsy. 

Address: Vesennyaya str., 16, Puchkovo vil., Moscow, Russia, 143397. 



V. A. Chadaev
Saint Luke’s institute of pediatric neurology and epilepsy, Moscow; Pirogov Russian National Research Medical University, Moscow
Russian Federation

Chadaev Viktor Alekseevich – PhD, ass. prof., head of the laboratory diagnostics. 

Address: Vesennyaya str., 16, Puchkovo vil., Moscow, Russia, 143397. 



E. I. Barletova
Saint Luke’s institute of pediatric neurology and epilepsy, Moscow
Russian Federation

Barletova Elena Igorevna – PhD. 

Address: Vesennyaya str., 16, Puchkovo vil., Moscow, Russia, 143397. 



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For citation:


Nikitina M.A., Mukhin K.Y., Glukhova L.Y., Chadaev V.A., Barletova E.I. CLINICAL LATERALIZING SIGNS IN SYMPTOMATIC TEMPORAL LOBE EPILEPSY. Epilepsy and paroxysmal conditions. 2015;7(2):59-64. (In Russ.)

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ISSN 2077-8333 (Print)
ISSN 2311-4088 (Online)