Seizures with onset in the sensorimotor face area: clinical patterns and results of surgical treatment in 20 patients

Lehman, Richard ; Andermann, Frederick ; Olivier, André ; Tandon, Prakash N. ; Quesney, Luis F. ; Rasmussen, Theodore B. (1994) Seizures with onset in the sensorimotor face area: clinical patterns and results of surgical treatment in 20 patients Acta Neurologica Scandinavica, 35 (6). pp. 1117-1124. ISSN 0001-6314

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Official URL: http://onlinelibrary.wiley.com/doi/10.1111/j.1528-...

Related URL: http://dx.doi.org/10.1111/j.1528-1157.1994.tb01776.x

Abstract

It is not generally appreciated that intractable seizures involving the face area are amenable to surgical treatment. Twenty patients with onset of sensorimotor seizures in the face area of the pre-and postcentral gyri have been studied and surgically treated since 1948. Seizures started in the face, tongue, or throat, followed by diverse patterns depending on spread of seizure activity. Two patients had epilepsia partialis continua; 6 had either tonic or atonic drop attacks. All patients had pre-and postcentral face area resections, 12 in the dominant hemisphere. In addition, 3 had more extensive postcentral removal, 7 had temporal lobe, and 4 had small separate or contiguous frontal or parietal resection. Because the seizures were not sufficiently reduced by the first operation, 6 required reoperation; 4 of these patients had residual epileptiform activity on electrocorticogram (ECoG) after the first resection. Three patients had new neurologic signs that did not return to the preoperative level, but in 2 of them the deficit related mainly to higher resection in the central area. All but 2 of these 20 patients had at least moderate seizure reduction. Corticectomy can be performed for treatment of seizures arising in the lower central area and usually does not lead to significant permanent neurologic deficit.

Item Type:Article
Source:Copyright of this article belongs to John Wiley and Sons.
Keywords:Epilepsy; Sensorimotor Face Area; Pre-and Postcentral Gyri; Neurologic Manifestations; Surgical Treatment
ID Code:56867
Deposited On:25 Aug 2011 09:45
Last Modified:25 Aug 2011 09:45

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