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Related Experiment Videos

Postictal behavior. A clinical and subdural electroencephalographic study

O Devinsky1, K Kelley, E M Yacubian

  • 1Clinical Epilepsy Section, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Md.

Archives of Neurology
|March 1, 1994
PubMed
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Postictal behaviors after temporal lobe complex partial seizures (CPSs) depend on seizure origin. Left temporal CPSs correlate with aphasia and paraphasias, while right temporal CPSs are linked to disorientation and flat affect.

Area of Science:

  • Neurology
  • Epileptology
  • Neuroscience

Background:

  • Temporal lobe epilepsy (TLE) is a common form of focal epilepsy.
  • Complex partial seizures (CPSs) are characteristic of TLE and can manifest with diverse behavioral changes.
  • Understanding postictal behaviors is crucial for localizing seizure origin.

Purpose of the Study:

  • To investigate postictal behaviors following temporal lobe CPSs.
  • To correlate specific behaviors with the seizure's side of origin and ictal spread patterns.

Main Methods:

  • A retrospective review of 65 CPSs in 18 patients with TLE.
  • Utilized subdural electroencephalography (EEG) recordings for seizure definition.
  • Assessed language function, affect, orientation, and postictal automatisms.

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Main Results:

  • Impaired comprehension and anomia occurred regardless of seizure origin.
  • Global or nonfluent aphasia and paraphasic errors were significantly associated with left temporal CPSs.
  • Prolonged disorientation for place and flat affect were more common after right temporal CPSs.

Conclusions:

  • Postictal paraphasias, disorientation, and flat affect are likely indicative of the seizure's primary origin.
  • These behaviors may reflect the functions of the seizure's originating area rather than the spread areas.
  • Side of origin significantly influences specific postictal behavioral manifestations.