Posterior temporal epilepsy

Electroclinical features

M. Duchowny, P. Jayakar, T. Resnick, Bonnie Levin, L. Alvarez

Research output: Contribution to journalArticle

38 Citations (Scopus)

Abstract

In the course of evaluating children with posterior temporal lobe epilepsy with subdural electrodes, we observed that their seizures commonly arose from basal rather than convexity foci and that they followed a stereotyped clinical sequence. Seizures characteristically began with behavioral arrest that coincided with basal temporal seizure discharges and progressed to motor signs as the seizure activity spread to the ipsilateral cortical convexity. Behavioral automatisms were observed in approximately half the patients, but were never the first or most prominent ictal manifestation. Focal lesions were identified preoperatively in 7 patients. We performed tailored temporal lobe resections in 14 patients, 10 (71%) of whom were seizure free (N = 9) or had occasional auras (N = 1) at a mean follow-up of 2 years. These findings suggest that in childhood, posterior temporal seizures frequently arise from basal cortex and have a consistent and recognizable ictal and electrographic semiology. In medically refractory patients, tailored temporal resection is an effective therapy.

Original languageEnglish
Pages (from-to)427-431
Number of pages5
JournalAnnals of Neurology
Volume35
Issue number4
StatePublished - Apr 1 1994

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Epilepsy
Seizures
Stroke
Automatism
Temporal Lobe Epilepsy
Temporal Lobe
Electrodes
Therapeutics

ASJC Scopus subject areas

  • Neuroscience(all)

Cite this

Duchowny, M., Jayakar, P., Resnick, T., Levin, B., & Alvarez, L. (1994). Posterior temporal epilepsy: Electroclinical features. Annals of Neurology, 35(4), 427-431.

Posterior temporal epilepsy : Electroclinical features. / Duchowny, M.; Jayakar, P.; Resnick, T.; Levin, Bonnie; Alvarez, L.

In: Annals of Neurology, Vol. 35, No. 4, 01.04.1994, p. 427-431.

Research output: Contribution to journalArticle

Duchowny, M, Jayakar, P, Resnick, T, Levin, B & Alvarez, L 1994, 'Posterior temporal epilepsy: Electroclinical features', Annals of Neurology, vol. 35, no. 4, pp. 427-431.
Duchowny M, Jayakar P, Resnick T, Levin B, Alvarez L. Posterior temporal epilepsy: Electroclinical features. Annals of Neurology. 1994 Apr 1;35(4):427-431.
Duchowny, M. ; Jayakar, P. ; Resnick, T. ; Levin, Bonnie ; Alvarez, L. / Posterior temporal epilepsy : Electroclinical features. In: Annals of Neurology. 1994 ; Vol. 35, No. 4. pp. 427-431.
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