Ictal injury: Epilepsy vs. functional (psychogenic) seizures
Ali A Asadi-Pooya1, Mohsen Farazdaghi2
1Epilepsy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran; Jefferson Comprehensive Epilepsy Center, Department of Neurology, Thomas Jefferson University, Philadelphia, PA, USA.
Epilepsy & Behavior : E&B
|January 24, 2021
Summary
Ictal injuries occur at similar rates across generalized epilepsy, temporal lobe epilepsy, and focal seizures. Injury type or location should not indicate a specific seizure diagnosis.
Area of Science:
- Neurology
- Epileptology
- Clinical Medicine
Background:
- Ictal injuries are a recognized complication of seizures.
- Understanding the incidence and types of these injuries across different epilepsy syndromes is crucial for diagnosis and management.
Purpose of the Study:
- To compare the risk and types of ictal injuries in patients with idiopathic generalized epilepsy (IGE), temporal lobe epilepsy (TLE), and focal seizures (FS).
Main Methods:
- A retrospective study involving 1,174 patients diagnosed with IGE, TLE, or FS.
- Data collected included demographics, seizure characteristics, and ictal injury occurrence and types.
- Patients were recruited from an outpatient epilepsy clinic between 2008 and 2020.
Main Results:
- The overall rates of ictal injury did not significantly differ between IGE, TLE, and FS groups.
- Tongue injuries were more common in the TLE group compared to IGE and FS groups.
- Other ictal injury types and locations were similarly reported across all three groups.
Conclusions:
- Ictal injuries occur with comparable frequency in IGE, TLE, and FS.
- The rate, type, or location of ictal injury is not a reliable marker for differentiating between these seizure types.
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