Preview

Epilepsia and paroxysmal conditions

Advanced search

CLINICAL PRESENTATION AND DIAGNOSIS OF SOMATOSENSORY AURAS IN PATIENTS WITH EPILEPSY

Full Text:

Abstract

This article provides a detailed description of clinical presentations of different types of somatosensory auras, that is, the different types of numbness or paresthesia sensations, as well as of rarely seen somatosensory delusional perceptions. The objective of this article is to provide a detailed clinico-electroencephalographic and neurovisual analysis of a group of patients experiencing somatosensory auras. Test group included 15 patients (М-11, F-4, average age – 13 ± 8 years) with etiologically different forms of partial epilepsy, i.e., the idiopathic, symptomatic or cryptogenic epilepsy. It was established that in these patients the interictal epileptic pathological EEG activity was significantly more often registered in the central temporal or parietal lobe but significantly less frequently in the temporal lobe in its own right. In 47% of cases changes on MRT correlated with clinical presentations of epilepsy and pathological changes on EEG. The authors compare the results obtained with previously published ones. The article contains conclusions and recommendations that are helpful in daily medical practice.

About the Authors

М. R. Kremenchugskaya
Saint Luke’s institute of pediatric neurology and epilepsy, Moscow; Federal state-funded institution “Scientific center of children’s health” of RAMS, Moscow
Russian Federation


Е. I. Barletova
Saint Luke’s institute of pediatric neurology and epilepsy, Moscow; Federal state-funded educational institution named after N.I. Pirogov, Moscow
Russian Federation


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


L. Yu. Glukhova
Saint Luke’s institute of pediatric neurology and epilepsy, Moscow; Federal state-funded educational institution named after N.I. Pirogov, Moscow
Russian Federation


V. А. Chadaev
Saint Luke’s institute of pediatric neurology and epilepsy, Moscow; Federal state-funded educational institution named after N.I. Pirogov, Moscow
Russian Federation


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


References

1. Броун Т., Холмс Г. Эпилепсия. Клиническое руководство. М.: Бином. 2006; 288 с.

2. Карлов В.А. Эпилепсия у детей и взрослых, женщин и мужчин. Руководство для врачей. М.: Медицина. 2010; 718 с.

3. Мухин К.Ю., Миронов М.Б., Барлетова Е.И. Эпилептические ауры: клинические характеристики и топическое значение учебно-методическое пособие. М. 2011.

4. Мухин К.Ю., Петрухин А.С., Глухова Л.Ю. Эпилепсия. Атлас электро-клинической диагностики. М.: Альварес Паблишинг. 2004; с. 305-313, с. 407-415.

5. Эпилепсия и судорожные синдромы у детей: руководство для врачей под ред. П.А. Темина, М.Ю. Никоноровой. 2-е изд., перераб и доп. М.: Медицина. 1999; 656 с.

6. Beauvais K., Biraben A., Seigneuret E., Saikali S., Scarabin J.M. Subjective signs in premotor epilepsy: confirmation by stereoelectroencephalography. Epileptic Disord. 2005; 7 (4): 347-354.

7. Engel J.Jr. A proposed diagnostic scheme for people with epileptic seizures and with epilepsy: Report of the ILAE Task Force on Classification and Terminology. Epilepsia. 2001; 42 (6): 796-803.

8. Fejerman N., Caraballo R.H. Benign focal epilepsies in infancy, childhood and adolescence. J.L., UK. 2007; 268 p.

9. Kahane P., Hoffmann D., Minotti L., Berthoz A. Reappraisal of the human vestibular cortex by cortical electrical stimulation study. Annals of Neurology. 2003; 54 (5): 615-624.

10. Luders H.-О., Acharya J., Baumgartner C. et al. Semiological seizure classifica-tion. Epilepsia. 1998; 39: 1006-1013.

11. Luders H.-O., Noachtar S. Epileptic seizures. Pathophysiology and clinical semiology. Churchill Livingstone. N.Y. 2000; 796 p.

12. Luders H.-O., Noachtar S. Atlas of epileptic seizures and syndromes. W.B. Saunders Company, Philadelphia. 2001; 204 p.

13. Mazzola L., Isnard J., Mauguiere F. Somatosensory and pain responses to stimula-tion of the second somatosensory area (SII) in humans. A comparison with Sl and insular responses. Cerebral Cortex. 2006; 16 (7): 960-968.

14. Rona S. Auras: Localizing and lateralizing value. In: Lüders HO (eds.). Textbook of Epilepsy Surgery. London / New York: Informa Healthcare. 2008; P. 432-442.

15. Salanova V., Andermann F., Rasmussen T., Olivier A., Quesney L.F. Parietal lobe epilepsy. Clinical manifestations and outcome in 82 patients treated surgically be-tween 1929 and 1988. Brain. 1995; 118: 607-627.

16. So N.K. Epileptic auras. In. Eds. E. Wyllie. The Treatment of Epilepsy: Principles and Practice. 1993; 228 p.

17. Tuxhorn I.E. Somatosensory auras in focal epilepsy: a clinical, video-EEG and MRI study. Seizure. 2005. 14 (4): 262-268.


For citation:


Kremenchugskaya М.R., Barletova Е.I., Mukhin K.Y., Glukhova L.Y., Chadaev V.А., Nikitina М.А. CLINICAL PRESENTATION AND DIAGNOSIS OF SOMATOSENSORY AURAS IN PATIENTS WITH EPILEPSY. Epilepsia and paroxysmal conditions. 2012;4(3):29-33. (In Russ.)

Views: 100


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