Benign partial epilepsy in childhood: selective cognitive deficits are related to the location of focal spikes determined by combined EEG/MEG.

Abstract:

PURPOSE:Benign partial epilepsy (BPE) in childhood is characterized by the occurrence of interictal stereotyped focal spikes with variable localization in the EEG. Children with BPE often exhibit neuropsychological deficits. It is unclear whether a correlation exists between these deficits and the localization of spikes, several EEG studies giving inconsistent results. Magnetoencephalography (MEG) improves the accuracy of spike localization. Therefore by using combined MEG/EEG, we investigated the topographic relation between focal spikes and neuropsychological findings in children with BPE. METHODS:Twenty-seven children diagnosed consecutively with BPE were enrolled in the study. All were examined by combined MEG/EEG and magnetic resonance imaging (MRI). Location of spikes was determined by dipole source estimation. A standardized neuropsychological assessment was conducted, including Kaufman ABC battery, language tests, and motor performance series. All children with sufficient MEG data were included in the correlation analysis (N = 20). RESULTS:Focal spikes were located in the perisylvian region in 13 children, in the occipital region in seven, and in the frontal region in one. Five children had bilateral or multiple foci. Children with left perisylvian spikes did not differ from the others in global IQ, but performed significantly lower in language tests (p = 0.01). Children with occipital spikes performed significantly lower in simultaneous information processing (p = 0.01), especially in visual transformation tasks. CONCLUSIONS:Combined MEG/EEG investigation is a useful tool to examine interictal focal spikes. Our results show a correlation between the location of spikes and selective cognitive deficits in children with BPE. These findings indicate that focal interictal spikes may interfere with complex cognitive functions.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Wolff M,Weiskopf N,Serra E,Preissl H,Birbaumer N,Kraegeloh-Mann I

doi

10.1111/j.1528-1167.2005.00255.x

subject

Has Abstract

pub_date

2005-10-01 00:00:00

pages

1661-7

issue

10

eissn

0013-9580

issn

1528-1167

pii

EPI255

journal_volume

46

pub_type

杂志文章
  • Trends in pediatric epilepsy surgery in Europe between 2008 and 2015: Country-, center-, and age-specific variation.

    abstract:OBJECTIVE:To profile European trends in pediatric epilepsy surgery (<16 years of age) between 2008 and 2015. METHODS:We collected information on volumes and types of surgery, pathology, and seizure outcome from 20 recognized epilepsy surgery reference centers in 10 European countries. RESULTS:We analyzed retrospectiv...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.16414

    authors: Barba C,Cross JH,Braun K,Cossu M,Klotz KA,De Masi S,Perez Jiménez MA,Gaily E,Specchio N,Cabral P,Toulouse J,Dimova P,Battaglia D,Freri E,Consales A,Cesaroni E,Tarta-Arsene O,Gil-Nagel A,Mindruta I,Di Gennaro G,Giu

    更新日期:2020-02-01 00:00:00

  • Epilepsy in peroxisomal diseases.

    abstract:PURPOSE:To clarify the electroclinical manifestation of epileptic seizures and the evolution of epilepsy in patients with peroxisomal diseases. METHODS:Retrospective review of the medical records and EEGs of 14 patients with peroxisomal diseases: seven with Zellweger syndrome (ZS), two with neonatal adrenoleukodystrop...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1997.tb01095.x

    authors: Takahashi Y,Suzuki Y,Kumazaki K,Tanabe Y,Akaboshi S,Miura K,Shimozawa N,Kondo N,Nishiguchi T,Terada K,Orii T

    更新日期:1997-02-01 00:00:00

  • The effects of transient functional depression of the thalamus on spindles and on bilateral synchronous epileptic discharges of feline generalized penicillin epilepsy.

    abstract::A transient functional depression of thalamic activity (TFDTA) was induced in acute experiments in cats by the microinjection of 25% KCl into the thalamus. Spontaneous and evoked thalamic electrical activity was markedly depressed at the site of KCl microinjection. Spread of this depression to other thalamic areas oft...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1981.tb06155.x

    authors: Avoli M,Gloor P

    更新日期:1981-08-01 00:00:00

  • Effects of monotherapy and polytherapy on the blink reflex in epileptic patients.

    abstract::We performed the blink reflex (BR) in 20 normal volunteers, 13 epileptic patients receiving antiepileptic drug (AED) monotherapy, and 13 epileptic patients receiving AED polytherapy. Comparison of R1, ipsilateral and contralateral R2 and VIIth nerve latencies in the three groups showed no statistically significant dif...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1993.tb02137.x

    authors: Lancman ME,Cristiano E,Golimstok A,Granillo RJ

    更新日期:1993-11-01 00:00:00

  • Utility of genetic testing for therapeutic decision-making in adults with epilepsy.

    abstract:OBJECTIVE:Genetic testing has become a routine part of the diagnostic workup in children with early onset epilepsies. In the present study, we sought to investigate a cohort of adult patients with epilepsy, to determinate the diagnostic yield and explore the gain of personalized treatment approaches in adult patients. ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.16533

    authors: Johannesen KM,Nikanorova N,Marjanovic D,Pavbro A,Larsen LHG,Rubboli G,Møller RS

    更新日期:2020-06-01 00:00:00

  • Postictal pulmonary edema requires pulmonary vascular pressure increases.

    abstract::The pathogenesis of neurogenic pulmonary edema has been debated for many years. Whether cardiogenic mechanisms and increased pulmonary vascular pressures are primary or even necessary for the production of pulmonary edema has been argued. We used postictal pulmonary edema to study this problem in a sheep model of neur...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1996.tb00587.x

    authors: Johnston SC,Darragh TM,Simon RP

    更新日期:1996-05-01 00:00:00

  • Evaluating the contributions of state-of-the-art assessment techniques to predicting memory outcome after unilateral anterior temporal lobectomy.

    abstract:PURPOSE:Although anterior temporal lobectomy (ATL) is an effective treatment for many patients with medically refractory temporal lobe epilepsy (TLE), one risk associated with this procedure is postsurgical decline in memory. A substantial number of past studies examined factors that predict memory decline after surger...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2006.00807.x

    authors: Lineweaver TT,Morris HH,Naugle RI,Najm IM,Diehl B,Bingaman W

    更新日期:2006-11-01 00:00:00

  • A case of startle epilepsy and SSMA seizures documented with subdural recordings.

    abstract:PURPOSE:To study the mechanisms of startle-induced supplementary sensorimotor area (SSMA) seizures. METHODS:We present a patient investigated with indwelling subdural grid electrodes covering both the SSMA and the dorsolateral frontal lobe. RESULTS:We found a simultaneous seizure onset in the right dorsolateral premo...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1999.tb00813.x

    authors: Serles W,Leutmezer F,Pataraia E,Olbrich A,Gröppel G,Czech T,Baumgartner C

    更新日期:1999-07-01 00:00:00

  • Overexpression of pregnane X and glucocorticoid receptors and the regulation of cytochrome P450 in human epileptic brain endothelial cells.

    abstract:OBJECTIVE:Recent evidence suggests a metabolic contribution of cytochrome P450 enzymes (CYPs) to the drug-resistant phenotype in human epilepsy. However, the upstream molecular regulators of CYP in the epileptic brain remain understudied. We therefore investigated the expression and function of pregnane xenobiotic (PXR...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13703

    authors: Ghosh C,Hossain M,Solanki J,Najm IM,Marchi N,Janigro D

    更新日期:2017-04-01 00:00:00

  • Clonazepam (Rivotril) and carbamazepine (Tegretol) in psychomotor epilepsy: a randomized multicenter trial.

    abstract::The antiepileptic properties of carbamazepine (Tegretol) and clonazepam (Rivotril) were compared in a double-blind randomized study comprising 36 patients with newly diagnosed, untreated psychomotor epilepsy (partial seizures with complex symptomatology). No significant differences were found between the two drugs dur...

    journal_title:Epilepsia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1528-1157.1981.tb06152.x

    authors: Mikkelsen B,Berggreen P,Joensen P,Kristensen O,Køhler O,Mikkelsen BO

    更新日期:1981-08-01 00:00:00

  • Brain diffusion after single seizures.

    abstract:PURPOSE:Diffusion-weighted magnetic resonance imaging (DWI) after focal status epilepticus has demonstrated focal alterations of the apparent diffusion coefficient (ADC) in the epileptogenic zone. We hypothesized that localized dynamic alterations of brain diffusion during the immediate postictal state will be detectab...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1046/j.1528-1157.2003.07802.x

    authors: Hufnagel A,Weber J,Marks S,Ludwig T,De Greiff A,Leonhardt G,Widmann G,Stolke D,Forsting M

    更新日期:2003-01-01 00:00:00

  • Good outcome is possible after months of refractory convulsive status epilepticus: lesson learned.

    abstract::Determining a prognosis for functional recovery after prolonged status epilepticus can be difficult. Prior case studies have shown that despite seizure control, functional outcomes are typically poor unless a reversible cause is identified. Herein we present a case of idiopathic status epilepticus with a surprisingly ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2011.03327.x

    authors: Standley K,Abdulmassih R,Benbadis S

    更新日期:2012-01-01 00:00:00

  • Preresection intraoperative electrocorticography (ECoG) abnormalities predict seizure-onset zone and outcome in pediatric epilepsy surgery.

    abstract:OBJECTIVE:The predictive value of intraoperative electrocorticography (ECoG) in pediatric epilepsy surgery is unknown. In a population of children undergoing ECoG followed typically by invasive extraoperative monitoring (IEM) and resection, we aimed to determine the relationship between frequent ECoG abnormalities and ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13341

    authors: Greiner HM,Horn PS,Tenney JR,Arya R,Jain SV,Holland KD,Leach JL,Miles L,Rose DF,Fujiwara H,Mangano FT

    更新日期:2016-04-01 00:00:00

  • Low-pressure hydrocephalic state complicating hemispherectomy: a case report.

    abstract:UNLABELLED:Low-pressure hydrocephalic state (LPHS) has only recently been described as a distinct clinical entity occurring in patients with bioatrophic lesions of the brain. We report a patient in whom this syndrome developed after subtotal hemispherectomy for intractable epilepsy. METHODS:A 30-year-old man developed...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1046/j.1528-1157.2002.46101.x

    authors: Daniel RT,Lee GY,Halcrow SJ

    更新日期:2002-05-01 00:00:00

  • Functional and morphological changes in the hippocampal neuronal circuits associated with epileptic seizures.

    abstract:PURPOSE:We review what is currently known about functional and morphologic plasticity of hippocampal neuronal circuits in animal epilepsy models. RESULTS:Perforant-path kindling has been shown to enhance excitatory synaptic transmission in the dentate gyrus significantly, and this enhancement has lasted for > or =1 mo...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1046/j.1528-1157.43.s.9.11.x

    authors: Maru E,Kanda M,Ashida H

    更新日期:2002-01-01 00:00:00

  • Seizure frequency in intractable partial epilepsy: a statistical analysis.

    abstract::We examined the seizure records of 13 patients (nine men and four women, ages 27-50 years) with intractable partial epilepsy, maintained with steady anti-epileptic drug dosages. Patients recorded daily seizure frequency on calendars. Periods of outpatient observation ranged from 99 to 1,710 days and the number of obse...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1991.tb04703.x

    authors: Balish M,Albert PS,Theodore WH

    更新日期:1991-09-01 00:00:00

  • Antioxidant treatment after epileptogenesis onset prevents comorbidities in rats sensitized by a past stressful event.

    abstract:OBJECTIVE:Unresolved past stressful events can induce a state of vulnerability to epilepsy and comorbidities. Using an experimental model of stress-induced vulnerability to depression, we tested whether an antioxidant treatment applied after the onset of epileptogenesis was disease modifying and could prevent the occur...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.14692

    authors: Becker C,Mancic A,Ghestem A,Poillerat V,Claverie D,Bartolomei F,Brouillard F,Benoliel JJ,Bernard C

    更新日期:2019-04-01 00:00:00

  • Interobserver reliability of video recording in the diagnosis of nocturnal frontal lobe seizures.

    abstract:BACKGROUND:Nocturnal frontal lobe seizures (NFLS) show one or all of the following semeiological patterns: (1) paroxysmal arousals (PA: brief and sudden recurrent motor paroxysmal behavior); (2) hyperkinetic seizures (HS: motor attacks with complex dyskinetic features); (3) asymmetric bilateral tonic seizures (ATS: mot...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2007.01121.x

    authors: Vignatelli L,Bisulli F,Provini F,Naldi I,Pittau F,Zaniboni A,Montagna P,Tinuper P

    更新日期:2007-08-01 00:00:00

  • Infantile spasms: some new theoretical aspects.

    abstract::Infantile spasms begin in a very active phase of brain development. The new neuropathological techniques have shed light on changes in the fine structure of brain in children with infantile spasms. An understanding of the action of adrenocorticotropic hormone on the biochemistry and development of the brain provides, ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1983.tb04875.x

    authors: Riikonen R

    更新日期:1983-04-01 00:00:00

  • Nonepileptic seizure outcome varies by type of spell and duration of illness.

    abstract:PURPOSE:To determine whether differences in clinical manifestations of psychogenic nonepileptic events are associated with differences in outcome and whether the length of illness before diagnosis correlates with outcome. METHODS:We reviewed ictal videotapes and EEGs in 85 patients diagnosed with exclusively nonepilep...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.2000.tb04613.x

    authors: Selwa LM,Geyer J,Nikakhtar N,Brown MB,Schuh LA,Drury I

    更新日期:2000-10-01 00:00:00

  • Alpha-[11C]methyl-L-tryptophan uptake in patients with periventricular nodular heterotopia and epilepsy.

    abstract:BACKGROUND:Alpha-[11C]methyl-L-tryptophan (alpha-MTrp) positron emission tomography (PET) is a promising tool in the localization of the epileptogenic area in selected group of focal epilepsy patients. Electrophysiological evidence suggests the involvement of the neocortex in periventricular nodular heterotopia (PVNH)....

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2008.01575.x

    authors: Natsume J,Bernasconi N,Aghakhani Y,Kumakura Y,Nishikawa M,Fedi M,Soualmi L,Dubeau F,Andermann F,Bernasconi A,Diksic M

    更新日期:2008-05-01 00:00:00

  • Comparison of 5 alpha-pregnan-3 alpha-ol-20-one and phenobarbital on cortical synaptic activation and inhibition studied in vitro.

    abstract::The effects of 5 alpha-pregnan-3 alpha-ol-20-one (3 alpha-OH-DHP) and phenobarbital (PB) on synaptic excitation and inhibition in rat hippocampal slices in vitro were compared. Stimulations were made orthodromically and antidromically while we recorded extracellularly from the dendritic and the somatic layer of the CA...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1993.tb02403.x

    authors: Taubøll E,Gjerstad L

    更新日期:1993-03-01 00:00:00

  • Abnormal cortical cells and astrocytomas in the Eker rat model of tuberous sclerosis complex.

    abstract:PURPOSE:In patients with tuberous sclerosis complex (TSC), a wide range of neurologic abnormalities develop, including mental retardation and seizures. Brains from TSC patients are characterized by the presence of cortical tubers, large dysmorphic neurons, and abnormal cytomegalic cells. Although analysis of human TSC ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.0013-9580.2004.23004.x

    authors: Takahashi DK,Dinday MT,Barbaro NM,Baraban SC

    更新日期:2004-12-01 00:00:00

  • Effects of carbamazepine on the hypothalamic-pituitary-gonadal axis in male patients with epilepsy: a prospective study.

    abstract::The effects of carbamazepine (CBZ) monotherapy on serum sex hormone levels and on pituitary responsiveness to various stimuli were evaluated in a prospective study with 21 male patients with epilepsy. The serum levels of testosterone (T), free testosterone (FT), sex hormone binding globulin (SHBG), estradiol (E2), lut...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1989.tb05324.x

    authors: Isojärvi JI,Pakarinen AJ,Myllylä VV

    更新日期:1989-07-01 00:00:00

  • Knowledge, attitude, and practice toward epilepsy among rural Tanzanian residents.

    abstract::Before a health education program can be established, one must first know what the target population believes and does with respect to the disease in question. Therefore, we performed a study among Tanzanian rural inhabitants to identify their knowledge, attitude, and practice (KAP) toward epilepsy: 3,256 heads of hou...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1993.tb02127.x

    authors: Rwiza HT,Matuja WB,Kilonzo GP,Haule J,Mbena P,Mwang'ombola R,Jilek-Aall L

    更新日期:1993-11-01 00:00:00

  • Ictal and interictal activity in partial epilepsy recorded with multichannel magnetoelectroencephalography: correlation of electroencephalography/electrocorticography, magnetic resonance imaging, single photon emission computed tomography, and positron em

    abstract::Ictal and interictal epileptic activity was recorded for the first time by multichannel magnetoencephalography (MEG) in three patients with partial epilepsy. Pre- and intra-operative localization of the epileptogenic region was compared. The interictal epileptic activity was localized at the same region of the tempora...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1992.tb02195.x

    authors: Stefan H,Schneider S,Feistel H,Pawlik G,Schüler P,Abraham-Fuchs K,Schlegel T,Neubauer U,Huk WJ

    更新日期:1992-09-01 00:00:00

  • Anticonvulsant profile of valrocemide (TV1901): a new antiepileptic drug.

    abstract:PURPOSE:We sought to investigate the anticonvulsant activity of the new antiepileptic drug (AED), valrocemide or TV1901 (VGD) in various animal (rodent) models of human epilepsy to determine its anticonvulsant profile and safety margin. METHODS:VGD was administered intraperitoneally to CF no. 1 mice and orally or intr...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1046/j.1528-1157.2001.042007831.x

    authors: Isoherranen N,Woodhead JH,White HS,Bialer M

    更新日期:2001-07-01 00:00:00

  • Reevaluation of surgical failures and the role of reoperation in 39 patients with frontal lobe epilepsy.

    abstract::Between 1929 and 1980, 284 patients with refractory nontumoral frontal lobe epilepsy (FLE) underwent operation at the Montreal Neurological Institute (MNI). We studied 39 patients (14%) who required reoperation. Mean age at the time of first operation was 18 years and at reoperation was 22 years. Clinical manifestatio...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1994.tb02914.x

    authors: Salanova V,Quesney LF,Rasmussen T,Andermann F,Olivier A

    更新日期:1994-01-01 00:00:00

  • Indications and methodology for video-electroencephalographic studies in the epilepsy monitoring unit.

    abstract::Although the epilepsy and neurology communities have position papers on a number of topics pertaining to epilepsy diagnosis and management, no current paper exists for the rationale and appropriate indications for epilepsy monitoring unit (EMU) evaluation. General neurologists, hospital administrators, and insurers al...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/epi.13938

    authors: Shih JJ,Fountain NB,Herman ST,Bagic A,Lado F,Arnold S,Zupanc ML,Riker E,Labiner DM

    更新日期:2018-01-01 00:00:00

  • Human hippocampal seizure spread studied by depth and subdural recording: the hippocampal commissure.

    abstract::Eleven patients had seizures with unilateral temporal lobe onset recorded with simultaneous bilateral medial temporal depth electrodes and neocortical (subdural) electrodes at least on the side of seizure onset. Of a total of 55 seizures, four had simultaneous onset in neocortex and hippocampus, and 51 had onset in un...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1987.tb03676.x

    authors: Spencer SS,Williamson PD,Spencer DD,Mattson RH

    更新日期:1987-09-01 00:00:00