Does semiology tell us the origin of seizures consisting mainly of an alteration in consciousness?
@article{Baykan2011DoesST,
title={Does semiology tell us the origin of seizures consisting mainly of an alteration in consciousness?},
author={Bet{\"u}l Baykan and Ebru Altındağ and Berend Feddersen and Sevda Ozel and Soheyl Noachtar},
journal={Epilepsia},
year={2011},
volume={52}
}Purpose: Studies on seizures only with an alteration of consciousness were limited mainly to generalized epilepsy. This seizure type has been described rarely in focal epilepsy. We aimed to analyze the semiologic features of this seizure type in focal and generalized epilepsies in a blinded design.
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13 Citations
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This case further expands the understanding of the complexity of semiology in electroclinical classification and the spectrum that may occur in adult absence seizures and serves to underscore the need for ictal EEG recordings and the importance of concordance with the clinical course during the pre-surgical evaluation of patients with lesions and drug-resistant epilepsy.
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The proposed standardised assessment battery provides a comprehensive and user-friendly format for ictal-postictal testing, and examines consciousness, language, motor, sensory, and visual function and has the potential to make full use of data recorded during video EEG increasing the diagnostic yield.
Ictal Blinking: Reappraisal of the Lateralization and Localization Value in Focal Seizures.
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Unilateral/asymmetrical blinking is one of the early components of the seizures and appears as a useful lateralizing sign, often associated with fronto-temporal seizure-onset, and symmetrical blinking did not seem to be valuable in lateralization and localization of focal seizures.
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Advances in diagnostic and therapeutic options require a revision of the current classification of seizures and epilepsies and it is suggested that epileptology should utilize the same established systematic approach used in clinical neurology.
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