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Updated: Jun 10, 2026

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Combined Transcranial Magnetic Stimulation and Electroencephalography of the Dorsolateral Prefrontal Cortex
Published on: August 17, 2018
The postictal state: effects of age and underlying brain dysfunction.
1Clinical Epilepsy Section, National Institutes of Health, Bethesda, MD 20892, USA. theodorw@ninds.nih.gov
Epilepsy & Behavior : E&B
|August 21, 2010
Summary
Understanding postictal period features is limited. Age and brain function influence confusion duration, while specific symptoms like dysphasia and Todd
Area of Science:
- Neurology
- Clinical Neurophysiology
Background:
- Limited understanding of factors influencing postictal period clinical features.
- Age-related physiological changes may impact postictal phenomena.
Purpose of the Study:
- To explore parameters affecting clinical features of the postictal period.
- To analyze age-related influences on postictal manifestations.
Main Methods:
- Review of existing literature on postictal phenomena.
- Analysis of clinical observations related to age and neurological function.
Main Results:
- Elderly adults and children may experience prolonged postictal confusion, especially with diffuse cerebral dysfunction.
- Postictal dysphasia indicates a dominant hemisphere focus, often temporal.
- Todd's paralysis is consistently contralateral to the epileptogenic zone.
Conclusions:
- Age and cerebral dysfunction significantly affect postictal confusion.
- Specific postictal symptoms can localize the seizure focus.
- Video/EEG monitoring data holds potential for further insights.
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