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[Psychomotor seizures in infants and young children]
K Karbowski1, F Vassella, E Pavlincova
1Neruologische Klinik und Kinderklinik der Universität Bern.
Insights
In infants and young children, focal temporal lobe epilepsy often presents as "temporal pseudoabsences" with sudden activity arrest, differing from typical psychomotor seizures seen in older individuals.
Area of Science:
- Neurology
- Pediatric Epilepsy
- Clinical Neurophysiology
Context:
- Focal epileptic discharges in the temporal regions of the brain.
- Analysis of 12 infants and young children (3 months to 5 years old).
- Inclusion of 6 cases with videotape monitoring for ictal clinical symptom analysis.
Purpose:
- To analyze the ictal clinical symptoms of focal temporal lobe epilepsy in young children.
- To compare seizure manifestations in this age group with older children and adults.
- To investigate the prevalence of specific seizure types, including
Summary:
- 12 pediatric patients with temporal lobe epilepsy were studied for clinical seizure symptoms.
- Seizure types included psychomotor seizures with automatisms and staring spells (
- Temporal pseudoabsences
Impact:
- Highlights the distinct presentation of temporal lobe epilepsy in young children.
- Suggests
- temporal pseudoabsences
Abstract:
off authors analyzed the ictal clinical symptoms (in 6 cases with videotape monitoring) of 12 infants and young children, who had focal epileptic discharges in the temporal regions (fig. 3, 4, 5). The average age was 1 9/12 years with a range of 3 months to 5 years. In 6 cases the seizures were typical "psychomotor" with oral automatisms, aimless movements of the upper extremities and/or tonic versive motor manifestations (fig. 2). In 5 cases the seizures consisted of staring and arrest of any movement. In another case, automatisms of the upper extremities were accompanied by a psychomotor arrest reaction. It is probable that in this age group seizures with sudden arrest of activity ("temporal pseudoabsences") are more frequently the main expression of partial complex seizures than in older children and in adults.