Scalp EEG differs in temporal and extratemporal complex partial seizures

Thaddeus S. Walczak, Darrell V. Lewis, Rodney Radtke

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

We compared scalp ictal EEG in complex partial seizures originating in extratemporal regions with seizures originating in the temporal lobe. All patients were seizure-free for 2 or more years after appropriate cortical resection confirming focus of seizure onset. The electroencephalographer reviewing seizures was blind to patient identity. Extratemporal seizures were shorter, more difficult to lateralize, and had postictal slowing less often. Confident lateralization of seizure onset could not be made in 19% of the seizures, usually because onset was diffuse or artifact obscured the seizure. When lateralization judgments were thought possible, lateralization errors occurred in only 3% of the seizures. Five percent of the seizures had no detectable scalp ictal changes.

Original languageEnglish (US)
Pages (from-to)25-28
Number of pages4
JournalJournal of Epilepsy
Volume4
Issue number1
DOIs
StatePublished - 1991

Keywords

  • Complex partial seizures
  • EEG
  • Extratemporal seizures
  • Temporal lobe seizures

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