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首页> 外文期刊>The Canadian Journal of Neurological Sciences: le Journal Canadien des Sciences Neurologiques >Localizing and lateralizing value of epileptic symptoms in temporal lobe epilepsy.
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Localizing and lateralizing value of epileptic symptoms in temporal lobe epilepsy.

机译:颞叶癫痫中癫痫症状的局部化和横向化价值。

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摘要

The symptoms and signs associated with all stages of a temporal lobe seizure may be helpful in determining both the localization and lateralization of seizure onset. Auras, when present, may be very suggestive of temporal lobe onset and may further localize to a mesiobasal or lateral temporal lobe site of onset. During the ictus, automatisms and motor phenomena may be highly indicative of temporal lobe seizure activity and may even help lateralize the discharge. In the post-ictal period, motor paresis and aphasia are helpful in lateralization. Video E.E.G. data has provided extensive information on the utility of ictal symptomatology in seizure localization. Thus, the seizure semiology provides important adjunctive information in evaluating patients for epilepsy surgery and should be concordant with information obtained from ictal EEG, neuroimaging and neuropsychology.
机译:与颞叶癫痫发作的所有阶段相关的症状和体征可能有助于确定癫痫发作的定位和侧化。当存在光环时,可能非常暗示颞叶发作,并且可能进一步定位于发作的中基底或外侧颞叶部位。在发作期间,自动行为和运动现象可能是颞叶癫痫发作活动的高度指示,甚至可能有助于使放电横向化。在发作后时期,运动性轻瘫和失语症有助于侧身化。视频E.E.G.数据提供了有关发作症状局部发作中发作症状的实用性的广泛信息。因此,癫痫发作学为评估患者的癫痫手术提供重要的辅助信息,并且应与从发作性脑电图,神经影像学和神经心理学获得的信息相一致。

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