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내측측두엽 간질환자에서의 측위증후

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Affiliated Author(s)
김지언
Alternative Author(s)
Kim, Ji Eun
Journal Title
Keimyung Medical Journal
Issued Date
1997
Keyword
Mesial temporal lobe epilepsyLateralizing signSemiology
Abstract
Various signs of lateralization have been described in temporal lobe epilepsy (TLE). They include unilateral automatism, unilateral dystonic posture, versive head and body turning, ictal speech and so on. Because their specificity is still unclear, they are used to a limited degree in lateralizing the side of ictal onset. We evaluate the value of lateralizing signs in patients with TLE.
We analyzed semiology of 180 seizures in 35 TLE patients who were evaluated for epilepsy surgery at Dongsan Epilepsy Center between November, 1992 and October, 1995. All patients had received epilepsy surgery, and they were seizure free or exhibited aura only for at least 12 months following surgical resection.
Unilateral dystonic posture alone was observed in 22 seizures [ipsilateral : 6(25%), contralateral: 16(75%)]. Unilateral hand automatism alone was observed in 33 seizures [ipsilateral: 23(70%), contralateral: 10(30%)]. Unilateral dystonic posture accompanied by automatism of the other side was observed in 56 seizures [ipsilateral automatism combined with contralateral dystonic posture : 48(87%), contralateral automatism combined with ipsilateral dystonic posture: 7(13%)]. Versive head turning was noticed in 35 enents [ipsilateral 4(11%), contralateral: 22(63%), initial ipsilateral to contralateral : 9(26%), initial contralateral to ipsilateral: 0].
We conclude that the most valuable lateralizing sign in TLE is contralateral dystonic posture accompanied by ipsilateral automatism, and ipsilateral hand automatism alone and contralateral dystonic posture alone are also significant.
Alternative Title
Lateralizing Signs in Mesial Temporal Lobe Epilepsy
Department
Dept. of Neurology (신경과학)
Institute for Medical Science (의과학 연구소)
Publisher
Keimyung University School of Medicine
Citation
김지언. (1997). 내측측두엽 간질환자에서의 측위증후. Keimyung Medical Journal, 16(4), 531–537.
Type
Article
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15058
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 1997
1. School of Medicine (의과대학) > Dept. of Neurology (신경과학)
3. Research Institutues (연구소) > Institute for Medical Science (의과학연구소)
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