Nonmanipulative proximal upper extremity automatisms lateralize contralaterally in temporal lobe epilepsy
Summary Purpose: Upper extremity automatisms are considered to be an ipsilateral seizure lateralizing sign in temporal lobe epilepsy (TLE). Herein we describe different types of contralateral upper extremity automatisms (CUEAs). Methods: One hundred ninety‐three video–(electroencephalography) EEG...
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| Veröffentlicht in: | Epilepsia (Copenhagen) 2010-02, Vol.51 (2), p.214-220 |
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| creator | Kelemen, Anna Fogarasi, András Borbély, Csaba Szűcs, Anna Fabó, Dániel Jakus, Rita Rásonyi, György Halász, Péter |
| description | Summary
Purpose: Upper extremity automatisms are considered to be an ipsilateral seizure lateralizing sign in temporal lobe epilepsy (TLE). Herein we describe different types of contralateral upper extremity automatisms (CUEAs).
Methods: One hundred ninety‐three video–(electroencephalography) EEG recordings of 59 patients were reviewed. Other than two patients who refused surgery, all patients underwent standardized temporal lobectomy with favorable postoperative outcome. Fifty‐seven seizures of 21 patients were selected with CUEAs. We evaluated their electroclinical characteristics and their relation to other lateralizing motor symptoms.
Results: Two types of CUEAs were observed. Nonmanipulative, proximal upper extremity automatisms were seen unilaterally and contralaterally to the operated side. These automatisms were rhythmic; repetitive; and often occurred with a circulatory component resembling waving, flaunting, circling, or stirring movements. They occurred in 29 seizures (15%) of 11 patients (19%), in most seizures in the first half of the seizure, and never postictally, in various time sequences and combined with dystonic/tonic posturing or limb immobility. Manipulative/distal type of CUEAs occurred in 11 seizures (6%) of 7 patients (12%) on the unexpected contralateral side. These CUEAs were seen in all phases of the seizures, including in the postictal state.
Discussion: Nonmanipulative unilateral proximal upper extremity automatism is a reliable lateralizing sign to the contralateral hemisphere in TLE. This sign may be pathophysiologically related to dystonic/tonic posturing. Manipulative distal automatisms have less lateralizing value. |
| doi_str_mv | 10.1111/j.1528-1167.2009.02277.x |
| format | Article |
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Purpose: Upper extremity automatisms are considered to be an ipsilateral seizure lateralizing sign in temporal lobe epilepsy (TLE). Herein we describe different types of contralateral upper extremity automatisms (CUEAs).
Methods: One hundred ninety‐three video–(electroencephalography) EEG recordings of 59 patients were reviewed. Other than two patients who refused surgery, all patients underwent standardized temporal lobectomy with favorable postoperative outcome. Fifty‐seven seizures of 21 patients were selected with CUEAs. We evaluated their electroclinical characteristics and their relation to other lateralizing motor symptoms.
Results: Two types of CUEAs were observed. Nonmanipulative, proximal upper extremity automatisms were seen unilaterally and contralaterally to the operated side. These automatisms were rhythmic; repetitive; and often occurred with a circulatory component resembling waving, flaunting, circling, or stirring movements. They occurred in 29 seizures (15%) of 11 patients (19%), in most seizures in the first half of the seizure, and never postictally, in various time sequences and combined with dystonic/tonic posturing or limb immobility. Manipulative/distal type of CUEAs occurred in 11 seizures (6%) of 7 patients (12%) on the unexpected contralateral side. These CUEAs were seen in all phases of the seizures, including in the postictal state.
Discussion: Nonmanipulative unilateral proximal upper extremity automatism is a reliable lateralizing sign to the contralateral hemisphere in TLE. This sign may be pathophysiologically related to dystonic/tonic posturing. Manipulative distal automatisms have less lateralizing value.</description><identifier>ISSN: 0013-9580</identifier><identifier>EISSN: 1528-1167</identifier><identifier>DOI: 10.1111/j.1528-1167.2009.02277.x</identifier><identifier>PMID: 19780800</identifier><identifier>CODEN: EPILAK</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adult ; Anterior Temporal Lobectomy ; Anticonvulsants. Antiepileptics. Antiparkinson agents ; Automatism - classification ; Automatism - diagnosis ; Automatism - physiopathology ; Biological and medical sciences ; Child ; Contralateral ; Dystonia ; Dystonia - physiopathology ; Electroencephalography - statistics & numerical data ; Epilepsy, Temporal Lobe - diagnosis ; Epilepsy, Temporal Lobe - physiopathology ; Epilepsy, Temporal Lobe - surgery ; Female ; Functional Laterality - physiology ; Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy ; Humans ; Male ; Medical sciences ; Middle Aged ; Nervous system (semeiology, syndromes) ; Neurology ; Neuropharmacology ; Pharmacology. Drug treatments ; Temporal lobe epilepsy ; Upper Extremity - physiopathology ; Upper extremity automatisms</subject><ispartof>Epilepsia (Copenhagen), 2010-02, Vol.51 (2), p.214-220</ispartof><rights>Wiley Periodicals, Inc. © 2009 International League Against Epilepsy</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4807-1bbb963bf7e62661baf1507059b334422a18a09f0fbcaece0a2bd53c9e86c1a33</citedby><cites>FETCH-LOGICAL-c4807-1bbb963bf7e62661baf1507059b334422a18a09f0fbcaece0a2bd53c9e86c1a33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1528-1167.2009.02277.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1528-1167.2009.02277.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,1433,27924,27925,45574,45575,46409,46833</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22598853$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19780800$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kelemen, Anna</creatorcontrib><creatorcontrib>Fogarasi, András</creatorcontrib><creatorcontrib>Borbély, Csaba</creatorcontrib><creatorcontrib>Szűcs, Anna</creatorcontrib><creatorcontrib>Fabó, Dániel</creatorcontrib><creatorcontrib>Jakus, Rita</creatorcontrib><creatorcontrib>Rásonyi, György</creatorcontrib><creatorcontrib>Halász, Péter</creatorcontrib><title>Nonmanipulative proximal upper extremity automatisms lateralize contralaterally in temporal lobe epilepsy</title><title>Epilepsia (Copenhagen)</title><addtitle>Epilepsia</addtitle><description>Summary
Purpose: Upper extremity automatisms are considered to be an ipsilateral seizure lateralizing sign in temporal lobe epilepsy (TLE). Herein we describe different types of contralateral upper extremity automatisms (CUEAs).
Methods: One hundred ninety‐three video–(electroencephalography) EEG recordings of 59 patients were reviewed. Other than two patients who refused surgery, all patients underwent standardized temporal lobectomy with favorable postoperative outcome. Fifty‐seven seizures of 21 patients were selected with CUEAs. We evaluated their electroclinical characteristics and their relation to other lateralizing motor symptoms.
Results: Two types of CUEAs were observed. Nonmanipulative, proximal upper extremity automatisms were seen unilaterally and contralaterally to the operated side. These automatisms were rhythmic; repetitive; and often occurred with a circulatory component resembling waving, flaunting, circling, or stirring movements. They occurred in 29 seizures (15%) of 11 patients (19%), in most seizures in the first half of the seizure, and never postictally, in various time sequences and combined with dystonic/tonic posturing or limb immobility. Manipulative/distal type of CUEAs occurred in 11 seizures (6%) of 7 patients (12%) on the unexpected contralateral side. These CUEAs were seen in all phases of the seizures, including in the postictal state.
Discussion: Nonmanipulative unilateral proximal upper extremity automatism is a reliable lateralizing sign to the contralateral hemisphere in TLE. This sign may be pathophysiologically related to dystonic/tonic posturing. Manipulative distal automatisms have less lateralizing value.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Anterior Temporal Lobectomy</subject><subject>Anticonvulsants. Antiepileptics. Antiparkinson agents</subject><subject>Automatism - classification</subject><subject>Automatism - diagnosis</subject><subject>Automatism - physiopathology</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Contralateral</subject><subject>Dystonia</subject><subject>Dystonia - physiopathology</subject><subject>Electroencephalography - statistics & numerical data</subject><subject>Epilepsy, Temporal Lobe - diagnosis</subject><subject>Epilepsy, Temporal Lobe - physiopathology</subject><subject>Epilepsy, Temporal Lobe - surgery</subject><subject>Female</subject><subject>Functional Laterality - physiology</subject><subject>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Neuropharmacology</subject><subject>Pharmacology. Drug treatments</subject><subject>Temporal lobe epilepsy</subject><subject>Upper Extremity - physiopathology</subject><subject>Upper extremity automatisms</subject><issn>0013-9580</issn><issn>1528-1167</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU1v3CAQhlHVqtmk_QsVl6onuwPYBh96qKI0iRS1OaRnBGQsscIfBbtd99cXZ1fpNVwYhmeY4X0JoQxKltfnfclqrgrGGllygLYEzqUsD6_I7vniNdkBMFG0tYIzcp7SHgBkI8VbcsZaqUAB7Ij_Pg69Gfy0BDP730inOB58bwJdpgkjxcMcsffzSs0yj31mUp9oZjGa4P8ideMw5_CYCCv1A52xn8Z8omG0SHHyAae0viNvOhMSvj_tF-Tnt6uHy5vi7sf17eXXu8JVCmTBrLVtI2wnseFNw6zpWA0S6tYKUVWcG6YMtB101hl0CIbbx1q4FlXjmBHignw6vpt_8mvBNOveJ4chmAHHJWlZVbWqpHwBKYSCClSVSXUkXRxTitjpKWaR4qoZ6M0Rvdeb8HoTXm-O6CdH9CGXfjg1WWyPj_8LTxZk4OMJMMmZ0EUzOJ-eOc7rVql6m_bLkfuT9VxfPIC-ur_dIvEP1Jepzw</recordid><startdate>201002</startdate><enddate>201002</enddate><creator>Kelemen, Anna</creator><creator>Fogarasi, András</creator><creator>Borbély, Csaba</creator><creator>Szűcs, Anna</creator><creator>Fabó, Dániel</creator><creator>Jakus, Rita</creator><creator>Rásonyi, György</creator><creator>Halász, Péter</creator><general>Blackwell Publishing Ltd</general><general>Wiley-Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7TK</scope></search><sort><creationdate>201002</creationdate><title>Nonmanipulative proximal upper extremity automatisms lateralize contralaterally in temporal lobe epilepsy</title><author>Kelemen, Anna ; Fogarasi, András ; Borbély, Csaba ; Szűcs, Anna ; Fabó, Dániel ; Jakus, Rita ; Rásonyi, György ; Halász, Péter</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4807-1bbb963bf7e62661baf1507059b334422a18a09f0fbcaece0a2bd53c9e86c1a33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Anterior Temporal Lobectomy</topic><topic>Anticonvulsants. Antiepileptics. Antiparkinson agents</topic><topic>Automatism - classification</topic><topic>Automatism - diagnosis</topic><topic>Automatism - physiopathology</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Contralateral</topic><topic>Dystonia</topic><topic>Dystonia - physiopathology</topic><topic>Electroencephalography - statistics & numerical data</topic><topic>Epilepsy, Temporal Lobe - diagnosis</topic><topic>Epilepsy, Temporal Lobe - physiopathology</topic><topic>Epilepsy, Temporal Lobe - surgery</topic><topic>Female</topic><topic>Functional Laterality - physiology</topic><topic>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Neuropharmacology</topic><topic>Pharmacology. Drug treatments</topic><topic>Temporal lobe epilepsy</topic><topic>Upper Extremity - physiopathology</topic><topic>Upper extremity automatisms</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kelemen, Anna</creatorcontrib><creatorcontrib>Fogarasi, András</creatorcontrib><creatorcontrib>Borbély, Csaba</creatorcontrib><creatorcontrib>Szűcs, Anna</creatorcontrib><creatorcontrib>Fabó, Dániel</creatorcontrib><creatorcontrib>Jakus, Rita</creatorcontrib><creatorcontrib>Rásonyi, György</creatorcontrib><creatorcontrib>Halász, Péter</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Neurosciences Abstracts</collection><jtitle>Epilepsia (Copenhagen)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kelemen, Anna</au><au>Fogarasi, András</au><au>Borbély, Csaba</au><au>Szűcs, Anna</au><au>Fabó, Dániel</au><au>Jakus, Rita</au><au>Rásonyi, György</au><au>Halász, Péter</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nonmanipulative proximal upper extremity automatisms lateralize contralaterally in temporal lobe epilepsy</atitle><jtitle>Epilepsia (Copenhagen)</jtitle><addtitle>Epilepsia</addtitle><date>2010-02</date><risdate>2010</risdate><volume>51</volume><issue>2</issue><spage>214</spage><epage>220</epage><pages>214-220</pages><issn>0013-9580</issn><eissn>1528-1167</eissn><coden>EPILAK</coden><abstract>Summary
Purpose: Upper extremity automatisms are considered to be an ipsilateral seizure lateralizing sign in temporal lobe epilepsy (TLE). Herein we describe different types of contralateral upper extremity automatisms (CUEAs).
Methods: One hundred ninety‐three video–(electroencephalography) EEG recordings of 59 patients were reviewed. Other than two patients who refused surgery, all patients underwent standardized temporal lobectomy with favorable postoperative outcome. Fifty‐seven seizures of 21 patients were selected with CUEAs. We evaluated their electroclinical characteristics and their relation to other lateralizing motor symptoms.
Results: Two types of CUEAs were observed. Nonmanipulative, proximal upper extremity automatisms were seen unilaterally and contralaterally to the operated side. These automatisms were rhythmic; repetitive; and often occurred with a circulatory component resembling waving, flaunting, circling, or stirring movements. They occurred in 29 seizures (15%) of 11 patients (19%), in most seizures in the first half of the seizure, and never postictally, in various time sequences and combined with dystonic/tonic posturing or limb immobility. Manipulative/distal type of CUEAs occurred in 11 seizures (6%) of 7 patients (12%) on the unexpected contralateral side. These CUEAs were seen in all phases of the seizures, including in the postictal state.
Discussion: Nonmanipulative unilateral proximal upper extremity automatism is a reliable lateralizing sign to the contralateral hemisphere in TLE. This sign may be pathophysiologically related to dystonic/tonic posturing. Manipulative distal automatisms have less lateralizing value.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>19780800</pmid><doi>10.1111/j.1528-1167.2009.02277.x</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Anterior Temporal Lobectomy Anticonvulsants. Antiepileptics. Antiparkinson agents Automatism - classification Automatism - diagnosis Automatism - physiopathology Biological and medical sciences Child Contralateral Dystonia Dystonia - physiopathology Electroencephalography - statistics & numerical data Epilepsy, Temporal Lobe - diagnosis Epilepsy, Temporal Lobe - physiopathology Epilepsy, Temporal Lobe - surgery Female Functional Laterality - physiology Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy Humans Male Medical sciences Middle Aged Nervous system (semeiology, syndromes) Neurology Neuropharmacology Pharmacology. Drug treatments Temporal lobe epilepsy Upper Extremity - physiopathology Upper extremity automatisms |
| title | Nonmanipulative proximal upper extremity automatisms lateralize contralaterally in temporal lobe epilepsy |
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