Side-to-side axial movements Adding a new sign to the asymmetry of the clonic phase and asymmetric seizure termination in differentiating primary and secondarily generalised tonic-clonic seizures

Side-to-side axial movements Adding a new sign to the asymmetry of the clonic phase and asymmetric seizure termination in differentiating primary and secondarily generalised tonic-clonic seizures
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DOI:
10.1684/epd.2014.0637
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发表时间:
2014-03-01
影响因子:
2.3
通讯作者:
Lhatoo, Samden D.
Lhatoo, Samden D.
中科院分区:
医学4区
文献类型:
--
作者:
Franca, Sara;Gupta, Deepak K.;Lhatoo, Samden D.

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瞄准。研究有助于区分原发和继发性全面性强直阵挛发作(GTCS)的新的符号学体征。方法:研究方法。我们对58例在我们癫痫监测室接受视频脑电(VEEG)评估的患者的86例GTC进行了回顾性研究,其中13例为原发性,73例为继发性。11例为全面性癫痫,47例为局灶性癫痫。两位对诊断视而不见的癫痫专家独立地检查了脑电图,以确定是否存在五种症状。结果。阵挛时肢体运动不对称、侧侧轴向运动和不对称终止癫痫的发生率更高(p
Aim. To study new semiological signs which help distinguish between primary and secondarily generalised tonic-clonic seizures (GTCS). Methods. We retrospectively studied 86 GTCS, 13 primary and 73 secondary, in 58 patients who underwent video-EEG (vEEG) evaluation in our epilepsy monitoring unit. Eleven patients had generalised epilepsy and 47 focal epilepsy. Two expert epileptologists, blinded to diagnosis, examined the vEEGs independently for the presence of five semiological signs. Results. Asymmetry of limb movements in clonic phase, side-to-side axial movements, and asymmetric seizure termination occurred more frequently (p