Multidisciplinary analysis of patients with extratemporal complex partial seizures. I. Intertest agreement

Epilepsy Research
B E SwartzN Quinones

Abstract

In 15 patients we hypothesized the origin of epilepsies to be 'extratemporal' based on videotaped seizures and surface EEG. Neuropsychological tests and neuroimaging (CAT, MRI, and PET scans) were then compared to the hypothesized ictal sites. Neuropsychological tests were abnormal in 86.6% and FDG-PET scans were abnormal in 73%. The neuropsychological tests and PET localized or lateralized areas of dysfunction to the same sites as electroclinical characteristics did in 85% of patients (P less than 0.01, Fisher exact test). No statistically significant correlation between lesion sites on CT and MRI and the ictal origin was observed due to the high proportion of normal or non-specific scans. These observations should be verified in a larger series of extratemporal seizures.

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Citations

Nov 11, 1991·Epilepsy Research·T R HenryM E Phelps
Sep 19, 1998·Electroencephalography and Clinical Neurophysiology·E HalgrenP Chauvel
Feb 26, 1998·Epilepsy Research·B E SwartzM H Kaufman
May 1, 1993·Epilepsia·S Sveinbjornsdottir, J S Duncan
Mar 1, 1994·Epilepsia·B E Swartz
Aug 23, 2006·Epilepsia·Barbara E SwartzAntonio Delgado-Escueta
May 23, 2002·Seizure : the Journal of the British Epilepsy Association·Keun-Sik HongChun-Kee Chung
Aug 25, 2009·The Journal of General and Applied Microbiology·Devran GercekerFikret Sahin

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