Long Term Monitoring Peri-Ictal lateralizing signs. Mahmoud Motamedi, MD. Neurology Department, Sina hospital, Tehran University of Medical Sciences. Focal epilepsies Anatomic localization. Seizure focus can be at considerable distance from symptomatic zone
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Mahmoud Motamedi, MD.
Neurology Department, Sina hospital, Tehran University of Medical Sciences
Seizure focus can be at considerable distance from symptomatic zone
Propagation of Ictal patterns are variable
Seizures may be originated from silent brain regions
No signs or symptoms can be considered pathogonomonic of the anatomic localization
Combining semiologic, electrophysiologic, neuroimaging, and other data provide important localizing information
CPSs refers to a partial - onset seizure with impairment of consciousness, (ILAE,1981).
Seizures associated with MTLE are more correctly referred to as limbic seizures, whether or not consciousness is impaired
Focal clonic activity
Unilateral dystonic / tonic posturing
Automatisms with preserved awareness
Version of head and or eyes
Smiling, crying, spiting
Unilateral blinking or fluttering
Unilateral tonic seizures
Unilateral clonic seizures
Postictal nose wiping
Unilateral manual automatism
Postictal facial wiping