Autonomic symptoms during childhood partial epileptic seizures

Epilepsia
Andras FogarasiIngrid Tuxhorn

Abstract

To analyze systematically the occurrence and age dependence as well as the localizing and lateralizing value of ictal autonomic symptoms (ASs) during childhood partial epilepsies and to compare our results with those of earlier adult studies. Five hundred fourteen video-recorded seizures of 100 consecutive children 12 years or younger with partial epilepsy and seizure-free postoperative outcome were retrospectively analyzed. Sixty patients produced at least one AS; 43 (70%) of 61 with temporal and 17 (44%) of 39 with extratemporal lobe epilepsy (p=0.012). Apnea/bradypnea occurred more frequently in younger children (p<0.01), whereas the presence of other ASs was neither age nor gender related. Postictal coughing (p<0.01) and epigastric aura (p<0.05) localized to the temporal lobe, whereas no ASs lateralized to the seizure-onset zone. Our study shows that ASs are common in childhood focal epilepsies, appearing in infants and young children, too. As in adults, childhood central autonomic networks might have a close connection to temporal lobe structures but do not lateralize the seizure-onset zone. To our knowledge, this is the first study comprehensively assessing ASs in childhood epilepsy.

References

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Citations

May 25, 2007·Epilepsia·András FogarasiPéter Halász
Jun 8, 2007·Epilepsia·Michael Koutroumanidis
Nov 21, 2012·Epilepsia·Dorothée Kasteleijn-Nolst Trenité, Pasquale Parisi
Jul 18, 2009·Pediatric and Developmental Pathology : the Official Journal of the Society for Pediatric Pathology and the Paediatric Pathology Society·Hannah C KinneyHenry F Krous
Jan 23, 2016·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Egidio SpinelliHelly Goez
Feb 19, 2015·American Journal of Medical Genetics. Part a·Tatsuya FukasawaTamiko Negoro
Jun 4, 2011·Epilepsy & Behavior : E&B·Michalis Koutroumanidis
Dec 17, 2009·Pediatric Neurology·Tomohiro KumadaTatsuya Fujii
Nov 1, 2009·Reumatología clinica·Francisco M Menéndez AlejoVicente Martínez Rodríguez
Sep 2, 2008·European Journal of Paediatric Neurology : EJPN : Official Journal of the European Paediatric Neurology Society·Sander R HoogstraatePaul P Govaert
Jun 23, 2007·Epilepsy & Behavior : E&B·J JanszkyA Ebner
Oct 10, 2014·Psychiatry and Clinical Neurosciences·Li ChenHans O Lüders
Aug 14, 2013·Epilepsy & Behavior : E&B·Katrien JansenLieven Lagae
Aug 24, 2010·Seizure : the Journal of the British Epilepsy Association·Silvia MianoRosa Peraita-Adrados
Aug 7, 2010·Seizure : the Journal of the British Epilepsy Association·K Jansen, L Lagae
Oct 12, 2010·Epilepsy & Behavior : E&B·Nancy Foldvary-Schaefer, Kanjana Unnwongse
Oct 22, 2013·Epilepsy & Behavior : E&B·Milena PavlovaSanjeev V Kothare
Sep 25, 2012·Seizure : the Journal of the British Epilepsy Association·James J P AlixRichard A Grünewald
Sep 18, 2012·Epilepsy & Behavior : E&B·Vincenzo BelcastroPasquale Parisi
May 29, 2016·Epilepsy & Behavior : E&B·Ji-Hye SeoSeung Bong Hong
Aug 21, 2016·Acta otorrinolaringológica española·Francisco Javier García CallejoInés Rincón Piedrahita
Nov 22, 2013·Journal of Child Neurology·Ottavio VitelliMaria Pia Villa
Aug 28, 2014·Clinical EEG and Neuroscience·Sefik Evren ErdenerSerap Saygi

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