Epilepsia and paroxysmal conditions

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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.

About the Authors

М. Odinak M.
Military-medicine academy Name of Kirov (St.-Petersburg)
Russian Federation

Д. Svistov D.V.
Military-medicine academy Name of Kirov (St.-Petersburg)
Russian Federation

М. Prokudin M.Yu.
Military-medicine academy Name of Kirov (St.-Petersburg)
Russian Federation

Б. Martynov B.V.
Military-medicine academy Name of Kirov (St.-Petersburg)
Russian Federation

Я. Skiba Ya.B.
Military-medicine academy Name of Kirov (St.-Petersburg)
Russian Federation

С. Bazilevich S.N.
Military-medicine academy Name of Kirov (St.-Petersburg)
Russian Federation

M. A. Elkhassan
Military-medicine academy Name of Kirov (St.-Petersburg)
Russian Federation


1. Одинак М.М. Эпилепсия: этиопатогенез, клиника, дифференциальная диагностика, медикаментозное лечение / М.М. Одинак, Д.Е. Дыскин. СПб.: Политехника. 1997; 234 с.

2. 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.

3. Карлов В.А. Эпилепсия у детей и взрослых женщин и мужчин: Руководство для врачей. М.: ОАО «Издательство «Медицина». 2010.

4. Мухин К.Ю. Височная эпилепсия. Журнал неврологии и психиатрии. 2000; 9: 48-57.

5. Эпилепсия и судорожные симптомы у детей: руководство для врачей. Под ред. П.А. Темина, М.Ю. Никаноровой. М.: Медицина. 1999; 656 с.

6. 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.

7. 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.

8. 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.

9. 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).

10. Gil-Nagel A. Ictal semiology in hippocampal versus extrahippocampal temporal lobe epilepsy / A. Gil-Nagel, M. W. Risinger. Brain. 1997; 120: 183-192.

11. 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).

12. 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).

13. 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.

14. Lüders H.O. and Awad I. Conceptual considerations. In: H.O. Lüders (Ed.). Epilepsy Surgery. Raven Press. New York. 1992; pp. 51-62.

15. Maestro I. Oroalimentary automatism induced by electrical stimulation of the fronto-opercular cortex in a patient without automotor seizures. Epilepsy Behav. 2008;

16. (2): 410-41216. Maillard L. Semiologic and electrophysiologic correlation in temporal

17. lobe seizure subtypes / L. Maillard, J.-P. Vignal, M. Gavaret et al. Epilepsia; 45 (12): 1590-1599.

18. 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.

19. 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.

20. Privitera M. Postictal language function / M. Privitera, K. K. Kimm. Epilepsy Behav. 2010; 19 (2): 140-145.

21. 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.

22. 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.

23. 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.

For citation:

Odinak M. ., Svistov D.V. ., Prokudin M.Yu. ., Martynov B.V. ., Skiba Ya.B. ., Bazilevich S.N. ., Elkhassan M.A. CLINICAL SYMPTOMATOLOGY OF SEIZURES IN TEMPORAL EPILEPSY. Epilepsia and paroxysmal conditions. 2012;4(2):34-39. (In Russ.)

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