Epidemiology and pathophysiology of autonomic seizures: a systematic review

Clinical Autonomic Research : Official Journal of the Clinical Autonomic Research Society
Christoph BaumgartnerSusanne Pirker

Abstract

To review the epidemiology and pathophysiology of autonomic symptoms and signs during epileptic seizures. We performed a systematic literature search on the following autonomic symptoms and signs during epileptic seizures: cardiovascular changes, respiratory manifestations, gastrointestinal symptoms, cutaneous manifestations, sexual and genital manifestations, and urinary symptoms. Autonomic symptoms and signs can represent the predominant symptom at the onset of a focal seizure, which would then lead to the seizure being classified as a focal onset autonomic seizure. Conversely, clinically relevant autonomic symptoms and signs frequently accompany seizures of focal, generalized, and/or unknown onset, but the seizure is regardless classified according to other, more relevant features. Autonomic symptoms and signs do not represent mere reactions to motor activity or other behavioral seizure manifestations, but rather they are generated by epileptic discharges affecting the central autonomic network. We have reviewed the localizing and lateralizing information currently available on the seizure onset zone and on seizure propagation pathways as provided by systematic analysis of specific autonomic seizure symptoms and signs. We pr...Continue Reading

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Citations

Mar 25, 2019·Clinical Autonomic Research : Official Journal of the Clinical Autonomic Research Society·Roland D Thijs
Apr 29, 2020·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Yujiao FuHongyu Long
Nov 30, 2020·Epilepsy & Behavior : E&B·Tamara Herrera-FortinDang K Nguyen
Sep 14, 2020·Neurología : publicación oficial de la Sociedad Española de Neurología·A López-BravoA Viloria-Alebesque
Oct 31, 2021·Nature Reviews. Neurology·Roland D ThijsRainer Surges
Nov 9, 2020·Seizure : the Journal of the British Epilepsy Association·Alessandra MoranoCarlo Di Bonaventura
Jan 9, 2022·Epilepsia·Claude SteriadeJacqueline French

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