Titre
Ipsilateral head deviation in frontal lobe seizures
Type
article
Institution
Externe
Auteur(s)
Rheims, S.
Auteure/Auteur
Demarquay, G.
Auteure/Auteur
Isnard, J.
Auteure/Auteur
Guenot, M.
Auteure/Auteur
Fischer, C.
Auteure/Auteur
Sindou, M.
Auteure/Auteur
Mauguiere, F.
Auteure/Auteur
Ryvlin, P.
Auteure/Auteur
Liens vers les personnes
ISSN
0013-9580
Statut éditorial
Publié
Date de publication
2005-11
Volume
46
Numéro
11
Première page
1750
Dernière page/numéro d’article
3
Langue
anglais
Notes
Rheims, Sylvain
Demarquay, Genevieve
Isnard, Jean
Guenot, Marc
Fischer, Catherine
Sindou, Marc
Mauguiere, Francois
Ryvlin, Philippe
eng
Comparative Study
Epilepsia. 2005 Nov;46(11):1750-3. doi: 10.1111/j.1528-1167.2005.00293.x.
Demarquay, Genevieve
Isnard, Jean
Guenot, Marc
Fischer, Catherine
Sindou, Marc
Mauguiere, Francois
Ryvlin, Philippe
eng
Comparative Study
Epilepsia. 2005 Nov;46(11):1750-3. doi: 10.1111/j.1528-1167.2005.00293.x.
Résumé
PURPOSE: The lateralizing value of ictal head deviation (HD) in frontal lobe epilepsy (FLE) is a matter of debate. Although FLE is typically associated with tonic or clonic HD contralateral to seizure onset, ipsilateral HD has been noted in numerous reports. Whether both types of HD can be distinguished according to their clinical patterns has not yet been specifically investigated. METHODS: We studied the clinical pattern and time of occurrence of HD of 129 seizures in 13 consecutive patients, who underwent successful surgery for FLE, including 12 investigated with an intracerebral stereotactic EEG procedure. RESULTS: Ictal HD was ipsilateral to the epileptogenic zone (EZ) in four (30%) patients and 27 (20.9%) seizures and contralateral in five (38%) patients and 15 (11.6%) seizures. Ipsilateral HD was rarely tonic and never associated with clonic manifestation. Contralateral HD was always tonic, unnatural, and associated with hemifacial clonic movements in 86% of seizures. Ipsilateral HD occurred earlier than contralateral HD (p < 0.03), with a mean delay of 1 +/- 2 s after the first detectable ictal sign, as compared with a delay of 17 +/- 11 s for contralateral HD. Moreover, ipsilateral HD always occurred before contralateral HD when both signs coexisted in the same seizure. Our patients with ipsilateral HD demonstrated either an anterior or dorsolateral frontal EZ. CONCLUSIONS: Ipsilateral HD is a common ictal sign during FLE and can be distinguished from contralateral HD by its time of occurrence at or immediately after seizure onset and its lacking association with clonic movements.
PID Serval
serval:BIB_88730E6E25BC
PMID
Open Access
Oui
Date de création
2018-11-29T11:37:04.727Z
Date de création dans IRIS
2025-05-21T04:11:54Z