Ictal Onset and Spreading of Seizures of Parietal Lobe Origin
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概要
- 論文の詳細を見る
The characteristics of seizures associated with parietal lobe epilepsy were investigated in six consecutive patients with medically intractable epilepsy due to parietal lobe lesions. Intracranial electrode recordings were retrospectively reviewed to investigate the seizure onset symptoms and spreading patterns associated with the disorder. All six patients underwent implantation of subdural or depth electrodes and subsequent video/electroencephalography monitoring. Common symptoms included motionless stare, contralateral eye deviation, and head turn. Tonic posturing, contralateral sensory disturbance, and motor weakness were also seen. Asymmetrical generalized tonic and clonic seizures were seen in all six patients. All seizure activities began in the parietal lobe harboring the lesions, and then spread immediately to the adjacent lobes in most seizures, where the clinical symptoms were produced. The parietal lobe is a pure generator of seizures, whereas most clinical symptoms originate from adjacent lobes following seizure onset. No apparent specific symptoms other than sensory disturbance arising from the parietal lobe proper were recognized. Regardless of clinical symptoms, the seizure onset occurred in the parietal lobe harboring the lesion.
- 日本脳神経外科学会の論文
- 2003-11-15
著者
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FUJII Masami
Department of Neurosurgery, Yamaguchi University School of Medicine
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Fujii Masami
Department Of Neurosurgery Clinical Neuroscience Yamaguchi University School Of Medicine
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Akimura Tatsuo
Department Of Neurosurgery Yamaguchi University School Of Medicine
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Akimura Tatsuo
Department Of Neurosurgery Clinical Neuroscience Yamaguchi University School Of Medicine
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Suzuki Michiyasu
Department Of Neurosurgery Yamaguchi University School Of Medicine
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Suzuki Michiyasu
Department Of Neurosurgery Iwate Medical University
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Suzuki Michiyasu
Departments Of Neurosurgery Yamaguchi University School Of Medicine
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Yoshikawa Koichi
Department Of Neurosurgery Yamaguchi University School Of Medicine
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Fujii Masami
Departments Of Neurosurgery Yamaguchi University School Of Medicine
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IDEGUCHI Makoto
Department of Neurosurgery, Yamaguchi University School of Medicine
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Suzuki Michiyasu
Department Of Neurosurgery Clinical Neuroscience Yamaguchi University School Of Medicine
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Ideguchi Makoto
Department Of Neurosurgery Yamaguchi University School Of Medicine
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Ideguchi Makoto
Department Of Chemical Engineering Kyushu University
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Suzuki Michiyasu
Department Of Neurosurgery Clinical Neuroscience Higher Biointegration Yamaguchi University Graduate School Of Medicine
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Suzuki Michiyasu
Department of Neurosurgery and Clinical Neuroscience, Yamaguchi University Graduate School of Medicine, Japan
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