MULTIDISCIPLINARY ANALYSIS OF PATIENTS WITH EXTRATEMPORAL COMPLEX PARTIAL SEIZURES .1. INTERTEST AGREEMENT

被引：23

作者：

SWARTZ, BE

HALGREN, E

DELGADOESCUETA, AV

MANDELKERN, M

FELDSTEIN, P

MALDONADO, H

ROPCHAN, J

BLAHD, W

WALSH, GO

QUINONES, N

GEE, M

机构：

[1] VET ADM MED CTR BRENTWOOD, CTR EPILEPSY, RES SERV, LOS ANGELES, CA 90073 USA

[2] UNIV CALIF IRVINE, DEPT PHYS, IRVINE, CA 92717 USA

[3] UNIV CALIF LOS ANGELES, DEPT NUCL MED, LOS ANGELES, CA 90024 USA

[4] VET ADM MED CTR BRENTWOOD, NUCL MED SERV, LOS ANGELES, CA 90073 USA

[5] UNIV CALIF LOS ANGELES, DEPT NEUROL, LOS ANGELES, CA 90024 USA

[6] UNIV CALIF LOS ANGELES, INST BRAIN RES, LOS ANGELES, CA 90024 USA

[7] UNIV CALIF LOS ANGELES, COMPREHENS EPILEPSY PROGRAM, LOS ANGELES, CA 90024 USA

来源：

EPILEPSY RESEARCH | 1990年 / 5卷 / 01期

关键词：

Cognitive tests; Complex partial seizure; Extratemporal seizure; MRI scan; PET scan; Seizures;

D O I：

10.1016/0920-1211(90)90066-5

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

In 15 patients we hypothesized the origin of epilepsies to be 'extratemporal' based on videotaped seizures and surface EEG. Neuropsychological tests and neuroimaging (CAT, MRI, and PET scans) were then compared to the hypothesized ictal sites. Neuropsychological tests were abnormal in 86.6% and FDG-PET scans were abnormal in 73%. The neuropsychological tests and PET localized or lateralized areas of dysfunction to the same sites as electroclinical characteristics did in 85% of patients (P < 0.01, Fisher exact test). No statistically significant correlation between lesion sites on CT and MRI and the ictal origin was observed due to the high proportion of normal or non-specific scans. These observations should be verified in a larger series of extratemporal seizures. © 1990.

引用

页码：61 / 73

页数：13

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