Epilepsy: Continuum (Adult Focal Epilepsy) Flashcards
3 anatomical areas of focal epilepsy in order of commonality
Temporal>frontal>parietal>occipital
Two types of temporal lobe epilepsy
Mesial and lateral (neocortical)
Risk factor for hippocampal sclerosis (atrophy/gliosis)
prolonged FS
Auras for mesial temporal (4)
psychic sensations (dv/jv), gastric rising sensation, fear, olfactory
Common ictal semiology for mesial temporal
ipsilateral hand automatisms
Lateral Temporal Lobe Epilepsy - three areas.
basal, lateral/perisylvian, and temporooccipital junction
Auditory auras and aphasic seizures indicate…
lateral temporal lobe epilepsy
Gene associated with genetic lateral temporal lobe epilepsy
LGI1 (leucine rich glioma inactivated 1)
Duration of Frontal Lobe seizures and pot-ictal state comparatively.
Shorter than temporal
6 anatomical areas of frontal seizures
primary motor, supplementary motor, dorsolateral, frontopolar and opercular regions
Unique Ictal Behavior for Perirolandic (1)
focal motor with/without jacksonian march
Unique Ictal behavior for supplementary sonsorimotor
asymmetric tonic (fencin posture
Unique Ictal behavior for Dorsolateral
tonic or clonic
Unique Ictal behavior for orbitofrontal
complex motor automatism, olfactory
Unique Ictal behavior for anterior frontopolar
forced thinking,absence like