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Cases with parietal and occipital lobe epilepsies

作     者:Hermann Stefan 

作者机构:Department of Neurology-BiomagnetismUniversity Hospital10Schwabachanlage91054 ErlangenGermany 

出 版 物:《Acta Epileptologica》 (癫痫学报(英文))

年 卷 期:2019年第1卷第1期

页      面:31-36页

学科分类:1002[医学-临床医学] 10[医学] 

主  题:Parietal-occipital lobe epilepsy Posterior cortex Diagnosis and treatment 

摘      要:Background:For seizures emerging from the posterior cortex it can be a challenge to differentiate if they belong to temporal,parietal or occipital *** auras like visual phenomena may occur in all of these focal *** signs may mimic non-epileptic *** presentations:Case 1:Patient suffering from a pharmacoresistent focal *** seizures with sudden visual disturbance,later during the seizure epigastric aura,vertigo-nausea,involvement to bilateral tonic-clonic *** detected interictal spikes,source localization indicated focal epileptic activity parietal *** 2:Patient with focal pharmacoresistent epilepsy,semiology with focal unaware seizures,feeling that something like a coat is imposed from behind on him,then feeling cold over the whole body,goose bumbs from both arms to head,then block of motoric activity,later focal unaware seizures with stare gaze,blinking of eyes,clouding of consciousness,elevation of arms and legs,sometimes tonic-clonic ***/MEG source localization and MRI detected an epileptogenic lesion parietal *** 3:Patient with pharmacoresistent focal epilepsy,focal aware seizures,a dark spot occurring in the left visual field,sometimes anxiety during seizures(leading to the suspicion of non-epileptic psychogenic pseudo seizures).MRI demonstrated an atrophy occipito-temporal right after sinus vein *** video-EEG showed a focal seizure onset occipital ***:Contribution of noninvasive and/or invasive confirmation of the localization of the underlying focal epileptic activity in posterior cortex is *** of posterior cortex epilepsies are ventilated.

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