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dc.contributor.authorKurşun, Oğuzhan
dc.contributor.authorKarataş, Hülya
dc.contributor.authorDericioğlu, Neşe
dc.contributor.authorSaygı, Serap
dc.date.accessioned2020-02-14T12:54:35Z
dc.date.available2020-02-14T12:54:35Z
dc.date.issued2016
dc.identifier.issn1300-0667
dc.identifier.urihttps://doi.org/10.5152/npa.2016.13790
dc.identifier.urihttp://hdl.handle.net/11655/22088
dc.description.abstractIntroduction: Specialized centers, in the management and surgical treatment of medically refractory epilepsy, emphasize the importance of differentiating the varieties of localization related epilepsies. There has been considerable recent interest in temporal and frontal lobe epileptic syndromes and less attention has been paid to parietal and occipital lobe epilepsies. Methods: Here we report the clinical, electroencephalographic and neuroimaging characteristics of 46 patients with medically refractory lesional parietal lobe epilepsy who have been followed up for 1-10 years. Results: In this study auras were reported in 78.3% of the patients and included sensory symptoms (72.2%), headache (36.1%), nausea and vomiting (36.1%), psychic symptoms (36.1%) and visual symptoms (16.6%). The most common ictal behavioral changes were paresthesia (69.6%) and focal clonic activity (39.1%). Tonic posture, various automatisms, head deviation, staring, sensation of pain and speech disturbances occurred to a lesser extent. Simple partial seizures were present in 69.6%. Complex partial seizures occurred in 43.5% and secondary generalized tonic clonic seizures were reported in 58.7% of the patients. Interictal routine EEG disclosed abnormal background activity in 1/3 of the patients. Nonlocalising epileptiform abnormalities were found in 34.8% of the patients. EEG findings were normal in 34.8% of the patients. The most common presumed etiologic factors were as follows: posttraumatic encephalomalacia, stroke, tumor, malformation of cortical development, atrophy, and arteriovenous malformation. Conclusion: Clinical, electrophysiological and neuroimaging features of the lesional symptomatic partial epilepsy patients may help us to localize the seizure focus in some patients with cryptogenic partial epilepsy. So that, the timing decision of the parietal lobe sampling with more invasive techniques like intracranial electrodes prior to epilepsy surgery would be easier.tr_TR
dc.language.isoentr_TR
dc.publisherAvestr_TR
dc.relation.isversionof10.5152/npa.2016.13790tr_TR
dc.rightsinfo:eu-repo/semantics/openAccesstr_TR
dc.subjectParietal lobetr_TR
dc.subjectEpilepsytr_TR
dc.subjectAuratr_TR
dc.subjectEEGtr_TR
dc.subjectMRItr_TR
dc.subject.lcshTıptr_TR
dc.titleRefractory Lesional Parietal Lobe Epilepsy: Clinical, Electroencephalographic and Neurodiagnostic Findingstr_TR
dc.typeinfo:eu-repo/semantics/articletr_TR
dc.typeinfo:eu-repo/semantics/publishedVersion
dc.relation.journalNoropsikiyatri Arsivi-Archives Of Neuropsychiatrytr_TR
dc.contributor.departmentKlinik Nörolojik Bilimler ve Psikiyatritr_TR
dc.identifier.volume53tr_TR
dc.identifier.issue3tr_TR
dc.identifier.startpage213tr_TR
dc.identifier.endpage221tr_TR
dc.indexingWoStr_TR
dc.fundingYoktr_TR


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