Neurology
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Figures Only
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow CME: Take the course for this article:
 Volume 62, Number 12, June 22, 2004
Right arrow Correspondence:
Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Correspondence are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Aghakhani, Y.
Right arrow Articles by Dubeau, F.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Aghakhani, Y.
Right arrow Articles by Dubeau, F.
Related Collections
Right arrow MRI
Right arrow All Epilepsy/Seizures
Right arrow EEG
Right arrow Epilepsy semiology
Right arrow Cortical localization
NEUROLOGY 2004;62:2256-2261
© 2004 American Academy of Neurology

The predictive localizing value of tonic limb posturing in supplementary sensorimotor seizures

Y. Aghakhani, MD, A. Rosati, MD, A. Olivier, MD FRCS, PhD, J. Gotman, PhD, F. Andermann, MD FRCP and F. Dubeau, MD FRCP

From the Department of Neurology and Neurosurgery, Montreal Neurological Hospital and Institute, McGill University, Montreal, Quebec, Canada.

Address correspondence and reprint requests to Dr. F. Dubeau, Montreal Neurologic Institute, 3801 University St., Rm. 138, Montreal, Quebec, Canada H3A 2B4;e-mail: francois.dubeau{at}muhc.mcgill.ca

Objective: To determine whether early tonic limb posturing is reliable in lateralizing or localizing of the seizure generator in 14 patients with pharmacoresistent supplementary sensorimotor area (SSMA) seizures.

Methods: All patients underwent high-quality MRI scans and stereo-EEG recordings.

Results: The SSMA seizure semiology predicted focal or regional ictal onset in the SSMA in six (43%) patients: Three had a focal SSMA seizure onset, and three had a regional seizure onset with involvement of one SSMA plus adjacent neocortex. The eight remaining patients had diffuse uni- or bilateral seizure onset. Eight of 14 patients underwent a frontal or central cortical resection, but a good outcome was seen in only 3: 2 with no SSMA resection and 1 with an extensive central removal.

Conclusions: SSMA semiology is suggestive of early involvement of this region but is by no means a reliable indicator that the primary SSMA contains the seizure focus.

Received July 12, 2003. Accepted in final form February 4, 2004.




This article has been cited by other articles:


Home page
 NeurologyHome page
J. L. Fernandez-Torre and C. Leno
Teaching NeuroImage: Simple partial frontal status epilepticus with recurrent asymmetric tonic seizures
Neurology, February 12, 2008; 70(7): e30 - e31.
[Full Text] [PDF]

Home page
 BrainHome page
R. Matsumoto, D. R. Nair, E. LaPresto, W. Bingaman, H. Shibasaki, and H. O. Luders
Functional connectivity in human cortical motor system: a cortico-cortical evoked potential study
Brain, January 1, 2007; 130(1): 181 - 197.
[Abstract] [Full Text] [PDF]

Home page
 JWatch NeurologyHome page
Tonic Limb Posturing Does Not Aid Seizure-Onset Localization
Journal Watch Neurology, August 6, 2004; 2004(806): 3 - 3.
[Full Text]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2004 by AAN Enterprises, Inc.