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Absence of an Autonomic Sign Assists in the Diagnosis of Extratemporal Lobe Epilepsy Manifesting Generalized Convulsion with Retained Awareness
We herein report two epilepsy patients with the seizure focus in the non-dominant hemisphere manifesting secondarily generalized convulsion (sGC) with retained awareness characterized by a lack of autonomic signs although GC was complicated by respiratory arrest. Given the semiology and electrophysi...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Japanese Society of Internal Medicine
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6522412/ https://www.ncbi.nlm.nih.gov/pubmed/30568140 http://dx.doi.org/10.2169/internalmedicine.1740-18 |
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author | Neshige, Shuichiro Matsumoto, Riki Inouchi, Morito Kobayashi, Katsuya Shimotake, Akihiro Maruyama, Hirofumi Takahashi, Ryosuke Ikeda, Akio |
author_facet | Neshige, Shuichiro Matsumoto, Riki Inouchi, Morito Kobayashi, Katsuya Shimotake, Akihiro Maruyama, Hirofumi Takahashi, Ryosuke Ikeda, Akio |
author_sort | Neshige, Shuichiro |
collection | PubMed |
description | We herein report two epilepsy patients with the seizure focus in the non-dominant hemisphere manifesting secondarily generalized convulsion (sGC) with retained awareness characterized by a lack of autonomic signs although GC was complicated by respiratory arrest. Given the semiology and electrophysiological findings, the seizure activity was considered to propagate to the supplementary-motor area and the bilateral primary-motor area, with a clinical manifestation of sGC. The absence of autonomic signs during GC can be a key indicator that the seizure remains in the bilateral suprasylvian area and thus does not involve the region necessary for awareness preservation, which may assist in the diagnosis of this atypical epileptic seizure. |
format | Online Article Text |
id | pubmed-6522412 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | The Japanese Society of Internal Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-65224122019-05-20 Absence of an Autonomic Sign Assists in the Diagnosis of Extratemporal Lobe Epilepsy Manifesting Generalized Convulsion with Retained Awareness Neshige, Shuichiro Matsumoto, Riki Inouchi, Morito Kobayashi, Katsuya Shimotake, Akihiro Maruyama, Hirofumi Takahashi, Ryosuke Ikeda, Akio Intern Med Case Report We herein report two epilepsy patients with the seizure focus in the non-dominant hemisphere manifesting secondarily generalized convulsion (sGC) with retained awareness characterized by a lack of autonomic signs although GC was complicated by respiratory arrest. Given the semiology and electrophysiological findings, the seizure activity was considered to propagate to the supplementary-motor area and the bilateral primary-motor area, with a clinical manifestation of sGC. The absence of autonomic signs during GC can be a key indicator that the seizure remains in the bilateral suprasylvian area and thus does not involve the region necessary for awareness preservation, which may assist in the diagnosis of this atypical epileptic seizure. The Japanese Society of Internal Medicine 2018-12-18 2019-04-15 /pmc/articles/PMC6522412/ /pubmed/30568140 http://dx.doi.org/10.2169/internalmedicine.1740-18 Text en Copyright © 2019 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Neshige, Shuichiro Matsumoto, Riki Inouchi, Morito Kobayashi, Katsuya Shimotake, Akihiro Maruyama, Hirofumi Takahashi, Ryosuke Ikeda, Akio Absence of an Autonomic Sign Assists in the Diagnosis of Extratemporal Lobe Epilepsy Manifesting Generalized Convulsion with Retained Awareness |
title | Absence of an Autonomic Sign Assists in the Diagnosis of Extratemporal Lobe Epilepsy Manifesting Generalized Convulsion with Retained Awareness |
title_full | Absence of an Autonomic Sign Assists in the Diagnosis of Extratemporal Lobe Epilepsy Manifesting Generalized Convulsion with Retained Awareness |
title_fullStr | Absence of an Autonomic Sign Assists in the Diagnosis of Extratemporal Lobe Epilepsy Manifesting Generalized Convulsion with Retained Awareness |
title_full_unstemmed | Absence of an Autonomic Sign Assists in the Diagnosis of Extratemporal Lobe Epilepsy Manifesting Generalized Convulsion with Retained Awareness |
title_short | Absence of an Autonomic Sign Assists in the Diagnosis of Extratemporal Lobe Epilepsy Manifesting Generalized Convulsion with Retained Awareness |
title_sort | absence of an autonomic sign assists in the diagnosis of extratemporal lobe epilepsy manifesting generalized convulsion with retained awareness |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6522412/ https://www.ncbi.nlm.nih.gov/pubmed/30568140 http://dx.doi.org/10.2169/internalmedicine.1740-18 |
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