Título : |
A unique ictal EEG pattern in a patient with the coexistence of generalized and focal epilepsy |
Tipo de documento : |
documento electrónico |
Autores : |
Lady Diana Ladino Malagón, |
Fecha de publicación : |
2014 |
Títulos uniformes : |
Clinical EEG and Neuroscience
|
Idioma : |
Inglés (eng) |
Palabras clave : |
Classification epilepsy surgery idiopathic generalized epilepsy seizures temporal lobe epilepsy |
Resumen : |
The coexistence of focal and generalized epilepsy is rare. We report on a 17-year-old male with drug-resistant focal epilepsy and idiopathic generalized epilepsy (IGE). He began to experience generalized tonic-clonic seizures (GTCS) at the age of 3 years, with a good response to phenobarbital. At the age of 14 years, he began to experience complex partial seizures (CPS). Video-electroencephalography (video-EEG) telemetry showed the coexistence of right temporal spikes and bursts of generalized spike-wave (GSW). The ictal EEG showed a unique EEG pattern characterized by a 4- to 5-second burst of GSW followed by rhythmic delta activity over the right temporal region. A magnetic resonance image (MRI) showed right hippocampal sclerosis. The patient underwent a right temporal lobectomy that significantly improved his seizure control. He was rendered seizure free of the complex partial seizures and improvement of the GTCS. This case illustrates a very uncommon ictal EEG pattern, and shows that the decision for surgery in patients with focal drug-resistant epilepsy should not be affected by coexistent generalized epilepsy. |
Mención de responsabilidad : |
Lady Diana Ladino, Aaron Gleadow, José F Téllez-Zenteno |
Referencia : |
Clin EEG Neurosci. 2015 Apr;46(2):136-41. |
DOI (Digital Object Identifier) : |
10.1177/1550059413516463 |
PMID : |
24615929 |
En línea : |
https://journals.sagepub.com/doi/abs/10.1177/1550059413516463?journalCode=eegb |
Enlace permanente : |
https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3793 |