Temporal lobe ictal behavioral patterns in hippocampal sclerosis and other structural abnormalities

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dc.contributor.authorKutlu, Gülnihal
dc.contributor.authorBilir, Erhan
dc.contributor.authorErdem, Atilla
dc.contributor.authorGömceli, Yasemin B.
dc.contributor.authorLeventoglu, Alev
dc.contributor.authorKurt, G.Semiha
dc.contributor.authorKarataş, Ayşe
dc.date.accessioned2020-06-25T15:13:32Z
dc.date.available2020-06-25T15:13:32Z
dc.date.issued2005
dc.departmentKırıkkale Üniversitesi
dc.description.abstractIctal behavioral characteristics may provide clues in determining the nature of the epileptic focus. We defined ictal behavioral characteristics in patients with intractable temporal lobe epilepsy (TLE) who underwent anterior temporal lobectomy (ATL) and lived seizure-free for 2 years of follow-up. Video/EEG data on 282 seizures observed in 48 patients who suffered from TLE and underwent ATL were analyzed. All patients were seizure-free after surgery. We divided the patients into two groups on the basis of the pathological examination. Two hundred and two seizures in 35 patients with hippocampal sclerosis (Group 1) and eighty seizures in 13 patients with other pathological findings, such as tumors, cavernoma, and hamartoma (Group 2), were analyzed. Ictal behavior characteristics were evaluated for each of the seizures recorded in the two groups. Behavioral arrest, bilateral hand automatisms, oral and leg automatisms, and ictal aggression were significantly more frequent in Group 2 (P < 0.05), whereas contralateral dystonia of the upper extremity (P < 0.05), ipsilateral hand automatisms (P < 0.05), ipsilateral hand automatisms in the presence of contralateral dystonia of the upper extremity (P < 0.001), contralateral forced head deviation (P < 0.05), and secondary generalization (P < 0.05) were more significant in Group 1. There was no significant difference in vocalization and ipsilateral nonforced head deviation between the two groups (P > 0.05). The number of seizures observed during ictal speech, crying, and postictal nose wiping was not large enough, so differences could not be analyzed. It was concluded that although ictal behavioral characteristics differed between the two groups, certain behavioral patterns may be helpful in differentiating between hippocampal sclerosis and other pathology. © 2005 Elsevier Inc. All rights reserved.en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.doi10.1016/j.yebeh.2004.12.013
dc.identifier.endpage359en_US
dc.identifier.issn15255050
dc.identifier.issue3en_US
dc.identifier.pmid15820343
dc.identifier.scopus2-s2.0-16344391835
dc.identifier.scopusqualityQ2
dc.identifier.startpage353en_US
dc.identifier.urihttps://doi.org/10.1016/j.yebeh.2004.12.013
dc.identifier.urihttps://hdl.handle.net/20.500.12587/1838
dc.identifier.volume6en_US
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.relation.ispartofEpilepsy and Behavior
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectHippocampal sclerosisen_US
dc.subjectIctal behavioren_US
dc.subjectIctal EEGen_US
dc.subjectTemporal lobe epilepsyen_US
dc.titleTemporal lobe ictal behavioral patterns in hippocampal sclerosis and other structural abnormalitiesen_US
dc.typeArticle

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