scholarly journals Preoperative Electroencephalographic Investigation in Frontal Lobe Epilepsy: Electroencephalographic and Electrocorticographic Recordings

Author(s):  
L.F. Quesney

ABSTRACT:The first section of this article deals with specific anatomic and pathophysiologic factors which contribute to a poor EEG localization of the interictal epileptic abnormality and to the unreliable seizure onset localization commonly reported in patients with frontal lobe epilepsy. The localizing effectiveness of long term EEG monitoring was reviewed in four different groups of frontal lobe epileptic patients who underwent preoperative EEG investigation with extracranial and intracranial electrodes. The results of this study reveal a continuum distribution of interictal epileptic disturbances, ranging from focal abnormalities to lobar or multi-lobar epileptogenesis. A frontal lobe localization of the seizure generator based on ictal recordings obtained with extracranial electrodes is rather poor and much more reliable results can be obtained by depth-electroencephalography.

Author(s):  
Barbara E. Swartz ◽  
Gregory O. Walsh ◽  
Antonio V. Delgado-Escueta ◽  
Paolo Zolo

ABSTRACT:The effectiveness of long term EEG monitoring in the localization of the epileptic focus was studied in 37 patients with temporal lobe epilepsy comprising 190 recorded seizures, in 19 frontal lobe epileptic patients with 172 recorded seizures and in 12 additional patients which were classified as fronto-temporal. In the temporal lobe group, 49/190 seizures began focally (26%) and 20/190 seizures exhibited a regional onset (10%). In the frontal lobe group, only 21 out of 172 seizures (12%) had a focal ictal onset. 41/172 seizures began regionally (24%). In the fronto-temporal group, 31/55 seizures disclosed a focal EEG onset (57%). This study demonstrates that there is a two-fold increase in seizures beginning focally in the temporal lobe epilepsy group versus the frontal lobe group.


2019 ◽  
Vol 121 ◽  
pp. e32-e38 ◽  
Author(s):  
Cuiping Xu ◽  
Tao Yu ◽  
Guojun Zhang ◽  
Yuping Wang ◽  
Yongjie Li

Seizure ◽  
2014 ◽  
Vol 23 (7) ◽  
pp. 553-559 ◽  
Author(s):  
Jie Mu ◽  
Stefan Rampp ◽  
Evelien Carrette ◽  
Karl Roessler ◽  
Bjoern Sommer ◽  
...  

2021 ◽  
Vol 117 ◽  
pp. 107848
Author(s):  
Sara Casciato ◽  
Roberta Morace ◽  
Pier Paolo Quarato ◽  
Addolorata Mascia ◽  
Alfredo D'Aniello ◽  
...  

2014 ◽  
Vol 16 (2) ◽  
pp. 185-190 ◽  
Author(s):  
Giuseppe Gobbi ◽  
Giulia Loiacono ◽  
Antonella Boni ◽  
Lucia Marangio ◽  
Alberto Verrotti

Author(s):  
Theodore Rasmussen

ABSTRACT:Follow-up data of 2 to 49 years' duration are presented on 257 patients with cortical excisions for non-tumoral frontal lobe epilepsy. Twenty-six percent have become and remained seizure free. Another 30% have had a marked reduction of seizure tendency. Thus a total of 56% have had a long term complete or marked reduction of seizure tendency after the cortical resection. The cortical resections were classified into 5 regional categories. Forty-seven percent of patients with anterior frontal resections were in the seizure free category, as were 35% of patients with excisions limited to the convexity cortex and 32% of patients with maximal or near maximal frontal lobectomy. Only 18% of patients with frontal parasaggital excisions were in the seizure free category, and 10% of the patients who had excision of frontal cortex plus limited excision of adjacent central and/or temporal cortex.


2019 ◽  
Vol 90 ◽  
pp. 93-98 ◽  
Author(s):  
Roberta Morace ◽  
Sara Casciato ◽  
Pier Paolo Quarato ◽  
Addolorata Mascia ◽  
Alfredo D’Aniello ◽  
...  

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