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Volume 66, Number 2, January 24, 2006
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NEUROLOGY 2006;66:271-274
© 2006 American Academy of Neurology


Brief Communications

Peri-ictal lateralizing signs in children: Blinded multiobserver study of 100 children ≤12 years

András Fogarasi, MD, PhD, József Janszky, MD, PhD and Ingrid Tuxhorn, MD

From Epilepsie-Zentrum Bethel (A.F., J.J., I.T.), Bielefeld, Germany; Epilepsy Center (A.F.), Bethesda Children's Hospital, Budapest; and Department of Neurology (J.J.), University of Pécs, Hungary.

Address correspondence and reprint requests to Dr. András Fogarasi, Epilepsy Center, Bethesda Children's Hospital, Bethesda Street 3, H-1146-Budapest, Hungary. Address reprint requests to Dr. Ingrid Tuxhorn, e-mail: ingrid.tuxhorn{at}evkb.de or Dr. András Fogarasi, e-mail: fogarasi{at}bethesda.hu

Seizures in 100 children with partial epilepsy, 61% of temporal lobe origin, were assessed by multiple observers for lateralizing signs (LSs). Most LSs achieved very good interobserver agreement and high predictive value. Seventy-five percent of children produced LSs. Lack of LSs occurred more frequently among younger children, while some LSs appeared more frequently at older ages. Many frequent and reliable LSs were independent of age. LSs may help in the presurgical evaluation of infants and young children.


Additional material related to this article can be found on the Neurology Web site. Go to www.neurology.org and scroll down the Table of Contents for the January 24 issue to find the title link for this article.

Supported by grant #D 048517 from the Hungarian Scientific Research Fund (A.F.).

Disclosure: The authors report no conflicts of interest.

Received May 12, 2005. Accepted in final form October 8, 2005.


Related Article

January 24 Highlights
Neurology 2006 66: 158-159. [Full Text] [PDF]






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