Frontal Lobe Seizures: Electroclinical Syndromes

V. Salanova, H. H. Morris, P. Van Ness, P. Kotagal, E. Wyllie, H. Luders

Research output: Contribution to journalArticle

111 Scopus citations

Abstract

Summary: To define further the electroclinical manifestations of frontal lobe epilepsy (FLE), we studied 150 seizures manifested by 24 patients; 18 patients had subdural electrode arrays (SEA). The findings in these patients clearly overlapped presumably reflecting the interconnections between functionally related frontal zones; yet the manner in which the symptoms clustered and the sequence in which they occurred generally indicated the anatomic site of the epileptogenic zone. We divided the patients into three major groups: (a) those with supplementary motor seizures, (b) those with focal motor seizures, and (c) those with complex partial seizures (CPS, psychomotor seizures). Supplementary motor seizures began with tonic posturing of the extremities. Focal motor seizures generally began with conscious contralateral version or unilateral clonic focal motor activity; tonic posturing was noted only late in the seizure. CPS (psychomotor) began with unresponsiveness at onset, followed by staring or unconscious contraversion. We compared frontal lobe seizures with temporal lobe seizures reported previously; oral‐alimentary automatisms, repetitive hand movements, or looking around, were more common in temporal lobe seizures, whereas tonic posturing and bicycling movements were more common in frontal lobe psychomotor seizures.

Original languageEnglish (US)
Pages (from-to)16-24
Number of pages9
JournalEpilepsia
Volume36
Issue number1
DOIs
StatePublished - Jan 1995

Keywords

  • Clinical manifestations
  • Electroencephalography
  • Epilepsy surgery
  • Frontal lobe
  • Refractory epilepsy

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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    Salanova, V., Morris, H. H., Van Ness, P., Kotagal, P., Wyllie, E., & Luders, H. (1995). Frontal Lobe Seizures: Electroclinical Syndromes. Epilepsia, 36(1), 16-24. https://doi.org/10.1111/j.1528-1157.1995.tb01659.x