RT Book, Section
A1 Blume, Warren T.
A2 Duchowny, Michael
A2 Cross, J. Helen
A2 Arzimanoglou, Alexis
SR Print(0)
ID 1138409418
T1 EEGs: When, How, and Why
T2 Pediatric Epilepsy
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071496216
LK neurology.mhmedical.com/content.aspx?aid=1138409418
RD 2024/04/20
AB Ictal  symptoms  and  signs  reflect  area(s)  of  the  brain  involved  in  the  seizure.  Events  early  in  the  seizure  have  greater  localizing  value  than  later  ones  as  these  latter  may  result  from  propagation.  As  certain  symptoms,  such  as  a  rising  abdominal  sensation  in  a  focal  seizure,  may  result  from  involvement  of  any  one  of  two  or  more  anatomically  distinct  regions  usual  accompanying  phenomena  may  help  to  distinguish  possible  ictal  areas  of  origin.  Therefore,  a  cluster  of  patient-  and  observer-reported  phenomena  will  more  accurately  chart  seizure  origin  and  propagation  than  will  a  single  symptom  or  sign.  Knowledge  of  cortical,  thalamic,  and  brain  stem  physiology  will  equip  the  physician  with  insightful  questions  of  the  patient  and  associates  and  will  allow  perceptive  evaluations  of  video-telemetry  seizure  depictions.  Not  only  will  such  scrutiny  localize  most  focal  seizures  but  also  it  will  often  distinguish  primary  generalized  from  secondarily  generalized  seizures.1