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Syndromes related to anatomic localization of epilepsy

Author: Guest, Posted on Saturday, October 11 @ 20:58:18 IST by RxPG  

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Frontal lobe epilepsy

Seizure type
simple partial and complex partial
often rapid secondary generalization
status epilepticus is frequent

Symptoms
versive movements of the head
prominent motor manifestations, which are tonic or
postural, especially in the legs
complex gestural automatisms at onset

Special features
short seizures, several times a day and often during
sleep
despite impairment of consciousness, often minimal
or no postictal confusion
sometimes mistaken for psychogenic seizures


Temporal lobe epilepsy

Seizure type
complex partial, simple partial and sometimes
secondary generalization

Symptoms
epigastric rising sensation and hallucinations
motor arrest followed by oroalimentary automatisms,
followed by other automatisms

Special features
there is frequently a history of febrile convulsions
a family history of convulsions is common
memory deficits occur
onset is frequently in childhood or young adulthood
seizures occur in clusters at intervals or randomly
postictal confusion and gradual recovery


Parietal lobe epilepsy

Seizure type
simple partial ± secondary GTCS

Symptoms
sensory, like tingling or a feeling of electricity
numbness, sometimes painful sensations, usually in
hand, arm or face, may spread in a Jacksonian
manner


Occipital lobe epilepsy

Seizure type
simple partial ± secondary GTCS

Symptoms
fleeting visual manifestations like sparks, flashes
and phoshenes
perceptive illusions



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