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Related Experiment Videos

Complex partial seizures of infancy.

M S Duchowny

    Archives of Neurology
    |September 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    This study describes complex partial seizures in infants, noting unique behavioral and EEG patterns. These infantile seizures are often misdiagnosed despite distinct clinical and electrophysiological findings.

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    Area of Science:

    • Pediatric Neurology
    • Epileptology
    • Clinical Neurophysiology

    Background:

    • Complex partial seizures in infants are poorly understood.
    • Previous descriptions of infantile seizures lack detailed ictal manifestations.

    Purpose of the Study:

    • To describe the ictal manifestations of complex partial seizures in infants.
    • To characterize the electroencephalographic (EEG) and behavioral patterns of these seizures.

    Main Methods:

    • Long-term video-electroencephalographic (EEG) and telemetric monitoring.
    • Recording of 187 seizures in 14 infants under 2 years of age.
    • Analysis of behavioral seizure patterns and EEG findings.

    Main Results:

    • Common manifestations included behavioral arrest, forced lateralized head/eye deviation, and tonic upper-extremity stiffening.

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  • Facial automatisms like chewing and blinking were frequent.
  • EEG showed lateralized ictal onset with multifocal interictal discharges.

    • Conclusions:

    • Infantile complex partial seizures present distinct ictal behaviors and EEG patterns.
    • These seizures are often associated with profound developmental delay and intractable epilepsy.
    • Current routine evaluations may miss these distinctive seizure patterns.