Epilepsy and paroxysmal conditions

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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
Svt. Luka’s Institute of Child Neurology and Epilepsy, Moscow
Russian Federation

K. Yu. Mukhin
Svt. Luka’s Institute of Child Neurology and Epilepsy, Moscow
Russian Federation

L. Yu. Glukhova
Svt. Luka’s Institute of Child Neurology and Epilepsy, Moscow
Russian Federation

V. A. Chadaev
Svt. Luka’s Institute of Child Neurology and Epilepsy, Moscow; The Russian National Research Medical University named after N.I. Pirogov of the Ministry of Health of the Russian Federation, Moscow
Russian Federation

E. I. Barletova
Svt. Luka’s Institute of Child Neurology and Epilepsy, Moscow
Russian Federation


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For citations:

Nikitina M.A., Mukhin K.Yu., Glukhova L.Yu., Chadaev V.A., Barletova E.I. CLINICAL LATERALIZING SIGNS IN SYMPTOMATIC TEMPORAL LOBE EPILEPSY. Epilepsy and paroxysmal conditions. 2014;6(1):85-90. (In Russ.)

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