Ictal affective symptoms in temporal lobe epilepsy are related to gender and age
Summary Purpose: We systematically analyzed the video‐recorded and patient‐reported, as well as positive and negative ictal affective symptoms (IAS) in temporal lobe epilepsy (TLE). Our aim was to assess (1) frequency, (2) gender effect, (3) lateralizing significance, (4) localizing value, and (5)...
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| Veröffentlicht in: | Epilepsia (Copenhagen) 2010-07, Vol.51 (7), p.1126-1132 |
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| container_title | Epilepsia (Copenhagen) |
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| creator | Toth, Vanda Fogarasi, Andras Karadi, Kazmer Kovacs, Norbert Ebner, Alois Janszky, Jozsef |
| description | Summary
Purpose: We systematically analyzed the video‐recorded and patient‐reported, as well as positive and negative ictal affective symptoms (IAS) in temporal lobe epilepsy (TLE). Our aim was to assess (1) frequency, (2) gender effect, (3) lateralizing significance, (4) localizing value, and (5) prognostic significance in epilepsy surgery of IAS in patients with video‐registered seizures.
Methods: We reviewed ictal video recordings of 184 patients (99 women, aged 16–63). All patients had surgery for intractable TLE with video‐recorded complex partial seizures (CPS) due to temporal lobe lesions visualized by high‐resolution magnetic resonance imaging (MRI). Affective auras (AAs) were categorized into two groups: positive or negative.
Results: We registered AAs in 18% of patients: positive in 3%, negative in 15%. We saw ictal affective behavior (IAB) in 22% of patients; 10% had positive, whereas 14% had negative IAB. Two patients had both positive and negative IAB. AAs showed an association with IAB in case of fear expression versus fear auras (p = 0.018). IAB, especially negative IAB, occurred more often in women than in men. Patients with negative IAB were younger than others. We could not demonstrate an association between IAS and the localization, lateralization, or hemispheric dominance. Surgical outcome did not associate with IAS.
Discussion: Patient‐reported and video‐recorded negative—but not positive—affective signs are related to each other. Video‐recorded negative AAs occur more often in women and young patients. |
| doi_str_mv | 10.1111/j.1528-1167.2009.02396.x |
| format | Article |
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Purpose: We systematically analyzed the video‐recorded and patient‐reported, as well as positive and negative ictal affective symptoms (IAS) in temporal lobe epilepsy (TLE). Our aim was to assess (1) frequency, (2) gender effect, (3) lateralizing significance, (4) localizing value, and (5) prognostic significance in epilepsy surgery of IAS in patients with video‐registered seizures.
Methods: We reviewed ictal video recordings of 184 patients (99 women, aged 16–63). All patients had surgery for intractable TLE with video‐recorded complex partial seizures (CPS) due to temporal lobe lesions visualized by high‐resolution magnetic resonance imaging (MRI). Affective auras (AAs) were categorized into two groups: positive or negative.
Results: We registered AAs in 18% of patients: positive in 3%, negative in 15%. We saw ictal affective behavior (IAB) in 22% of patients; 10% had positive, whereas 14% had negative IAB. Two patients had both positive and negative IAB. AAs showed an association with IAB in case of fear expression versus fear auras (p = 0.018). IAB, especially negative IAB, occurred more often in women than in men. Patients with negative IAB were younger than others. We could not demonstrate an association between IAS and the localization, lateralization, or hemispheric dominance. Surgical outcome did not associate with IAS.
Discussion: Patient‐reported and video‐recorded negative—but not positive—affective signs are related to each other. Video‐recorded negative AAs occur more often in women and young patients.</description><identifier>ISSN: 0013-9580</identifier><identifier>EISSN: 1528-1167</identifier><identifier>DOI: 10.1111/j.1528-1167.2009.02396.x</identifier><identifier>PMID: 19889014</identifier><identifier>CODEN: EPILAK</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adult ; Affective Symptoms - complications ; Affective Symptoms - diagnosis ; Affective Symptoms - psychology ; Age Factors ; Aging ; Anticonvulsants. Antiepileptics. Antiparkinson agents ; Biological and medical sciences ; Brain lateralization ; Emotional signs ; Epilepsy, Temporal Lobe - complications ; Epilepsy, Temporal Lobe - diagnosis ; Epilepsy, Temporal Lobe - psychology ; Female ; Gender differences ; Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy ; Humans ; Male ; Medical sciences ; Mesial temporal lobe epilepsy ; Middle Aged ; Nervous system (semeiology, syndromes) ; Neurology ; Neuropharmacology ; Pharmacology. Drug treatments ; Retrospective Studies ; Sex Factors ; Video Recording - methods ; Young Adult</subject><ispartof>Epilepsia (Copenhagen), 2010-07, Vol.51 (7), p.1126-1132</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-c4806-9e95fb4431e9125691e85c9843c02ee6a0ac82aa47bafdb1ad9a33ac19107ff83</citedby><cites>FETCH-LOGICAL-c4806-9e95fb4431e9125691e85c9843c02ee6a0ac82aa47bafdb1ad9a33ac19107ff83</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.1528-1167.2009.02396.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1528-1167.2009.02396.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,1427,27901,27902,45550,45551,46384,46808</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23032446$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19889014$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Toth, Vanda</creatorcontrib><creatorcontrib>Fogarasi, Andras</creatorcontrib><creatorcontrib>Karadi, Kazmer</creatorcontrib><creatorcontrib>Kovacs, Norbert</creatorcontrib><creatorcontrib>Ebner, Alois</creatorcontrib><creatorcontrib>Janszky, Jozsef</creatorcontrib><title>Ictal affective symptoms in temporal lobe epilepsy are related to gender and age</title><title>Epilepsia (Copenhagen)</title><addtitle>Epilepsia</addtitle><description>Summary
Purpose: We systematically analyzed the video‐recorded and patient‐reported, as well as positive and negative ictal affective symptoms (IAS) in temporal lobe epilepsy (TLE). Our aim was to assess (1) frequency, (2) gender effect, (3) lateralizing significance, (4) localizing value, and (5) prognostic significance in epilepsy surgery of IAS in patients with video‐registered seizures.
Methods: We reviewed ictal video recordings of 184 patients (99 women, aged 16–63). All patients had surgery for intractable TLE with video‐recorded complex partial seizures (CPS) due to temporal lobe lesions visualized by high‐resolution magnetic resonance imaging (MRI). Affective auras (AAs) were categorized into two groups: positive or negative.
Results: We registered AAs in 18% of patients: positive in 3%, negative in 15%. We saw ictal affective behavior (IAB) in 22% of patients; 10% had positive, whereas 14% had negative IAB. Two patients had both positive and negative IAB. AAs showed an association with IAB in case of fear expression versus fear auras (p = 0.018). IAB, especially negative IAB, occurred more often in women than in men. Patients with negative IAB were younger than others. We could not demonstrate an association between IAS and the localization, lateralization, or hemispheric dominance. Surgical outcome did not associate with IAS.
Discussion: Patient‐reported and video‐recorded negative—but not positive—affective signs are related to each other. Video‐recorded negative AAs occur more often in women and young patients.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Affective Symptoms - complications</subject><subject>Affective Symptoms - diagnosis</subject><subject>Affective Symptoms - psychology</subject><subject>Age Factors</subject><subject>Aging</subject><subject>Anticonvulsants. Antiepileptics. Antiparkinson agents</subject><subject>Biological and medical sciences</subject><subject>Brain lateralization</subject><subject>Emotional signs</subject><subject>Epilepsy, Temporal Lobe - complications</subject><subject>Epilepsy, Temporal Lobe - diagnosis</subject><subject>Epilepsy, Temporal Lobe - psychology</subject><subject>Female</subject><subject>Gender differences</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>Mesial temporal lobe epilepsy</subject><subject>Middle Aged</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Neuropharmacology</subject><subject>Pharmacology. Drug treatments</subject><subject>Retrospective Studies</subject><subject>Sex Factors</subject><subject>Video Recording - methods</subject><subject>Young Adult</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>eNqNkEtr3DAQgEVIyW7S_oWiS8nJ7kjyQzr0EEIeC4Hm0J7FWB4tXvyq5E2z_z52d0mP7VxmYL558DHGBaRijq-7VORSJ0IUZSoBTApSmSJ9PWPr98Y5WwMIlZhcw4pdxrgDgLIo1QVbCaO1AZGt2fPGTdhy9J7c1LwQj4dunIYu8qbnE3XjEOZ2O1TEaWxaGuOBYyAeqMWJaj4NfEt9TYFjX3Pc0kf2wWMb6dMpX7Gf93c_bh-Tp-8Pm9ubp8RlGorEkMl9lWVKkBEyL4wgnTujM-VAEhUI6LREzMoKfV0JrA0qhU4YAaX3Wl2x6-PeMQy_9hQn2zXRUdtiT8M-2jLLClkYA_8mlTLamLKcSX0kXRhiDOTtGJoOw8EKsIt4u7OLX7v4tYt4-0e8fZ1HP5-O7KuO6r-DJ9Mz8OUEYHTY-oC9a-I7JxUoOb88c9-O3O_Z9uG_H7B3z5ulUm-v3J4D</recordid><startdate>201007</startdate><enddate>201007</enddate><creator>Toth, Vanda</creator><creator>Fogarasi, Andras</creator><creator>Karadi, Kazmer</creator><creator>Kovacs, Norbert</creator><creator>Ebner, Alois</creator><creator>Janszky, Jozsef</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>201007</creationdate><title>Ictal affective symptoms in temporal lobe epilepsy are related to gender and age</title><author>Toth, Vanda ; Fogarasi, Andras ; Karadi, Kazmer ; Kovacs, Norbert ; Ebner, Alois ; Janszky, Jozsef</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4806-9e95fb4431e9125691e85c9843c02ee6a0ac82aa47bafdb1ad9a33ac19107ff83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Affective Symptoms - complications</topic><topic>Affective Symptoms - diagnosis</topic><topic>Affective Symptoms - psychology</topic><topic>Age Factors</topic><topic>Aging</topic><topic>Anticonvulsants. Antiepileptics. Antiparkinson agents</topic><topic>Biological and medical sciences</topic><topic>Brain lateralization</topic><topic>Emotional signs</topic><topic>Epilepsy, Temporal Lobe - complications</topic><topic>Epilepsy, Temporal Lobe - diagnosis</topic><topic>Epilepsy, Temporal Lobe - psychology</topic><topic>Female</topic><topic>Gender differences</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>Mesial temporal lobe epilepsy</topic><topic>Middle Aged</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Neuropharmacology</topic><topic>Pharmacology. Drug treatments</topic><topic>Retrospective Studies</topic><topic>Sex Factors</topic><topic>Video Recording - methods</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Toth, Vanda</creatorcontrib><creatorcontrib>Fogarasi, Andras</creatorcontrib><creatorcontrib>Karadi, Kazmer</creatorcontrib><creatorcontrib>Kovacs, Norbert</creatorcontrib><creatorcontrib>Ebner, Alois</creatorcontrib><creatorcontrib>Janszky, Jozsef</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>Toth, Vanda</au><au>Fogarasi, Andras</au><au>Karadi, Kazmer</au><au>Kovacs, Norbert</au><au>Ebner, Alois</au><au>Janszky, Jozsef</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ictal affective symptoms in temporal lobe epilepsy are related to gender and age</atitle><jtitle>Epilepsia (Copenhagen)</jtitle><addtitle>Epilepsia</addtitle><date>2010-07</date><risdate>2010</risdate><volume>51</volume><issue>7</issue><spage>1126</spage><epage>1132</epage><pages>1126-1132</pages><issn>0013-9580</issn><eissn>1528-1167</eissn><coden>EPILAK</coden><abstract>Summary
Purpose: We systematically analyzed the video‐recorded and patient‐reported, as well as positive and negative ictal affective symptoms (IAS) in temporal lobe epilepsy (TLE). Our aim was to assess (1) frequency, (2) gender effect, (3) lateralizing significance, (4) localizing value, and (5) prognostic significance in epilepsy surgery of IAS in patients with video‐registered seizures.
Methods: We reviewed ictal video recordings of 184 patients (99 women, aged 16–63). All patients had surgery for intractable TLE with video‐recorded complex partial seizures (CPS) due to temporal lobe lesions visualized by high‐resolution magnetic resonance imaging (MRI). Affective auras (AAs) were categorized into two groups: positive or negative.
Results: We registered AAs in 18% of patients: positive in 3%, negative in 15%. We saw ictal affective behavior (IAB) in 22% of patients; 10% had positive, whereas 14% had negative IAB. Two patients had both positive and negative IAB. AAs showed an association with IAB in case of fear expression versus fear auras (p = 0.018). IAB, especially negative IAB, occurred more often in women than in men. Patients with negative IAB were younger than others. We could not demonstrate an association between IAS and the localization, lateralization, or hemispheric dominance. Surgical outcome did not associate with IAS.
Discussion: Patient‐reported and video‐recorded negative—but not positive—affective signs are related to each other. Video‐recorded negative AAs occur more often in women and young patients.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>19889014</pmid><doi>10.1111/j.1528-1167.2009.02396.x</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; IngentaConnect Open Access Journals; Wiley Online Library Journals Frontfile Complete; Wiley Online Library Free Content; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Adolescent Adult Affective Symptoms - complications Affective Symptoms - diagnosis Affective Symptoms - psychology Age Factors Aging Anticonvulsants. Antiepileptics. Antiparkinson agents Biological and medical sciences Brain lateralization Emotional signs Epilepsy, Temporal Lobe - complications Epilepsy, Temporal Lobe - diagnosis Epilepsy, Temporal Lobe - psychology Female Gender differences Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy Humans Male Medical sciences Mesial temporal lobe epilepsy Middle Aged Nervous system (semeiology, syndromes) Neurology Neuropharmacology Pharmacology. Drug treatments Retrospective Studies Sex Factors Video Recording - methods Young Adult |
| title | Ictal affective symptoms in temporal lobe epilepsy are related to gender and age |
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