Document Detail


Autonomic auras: left hemispheric predominance of epileptic generators of cold shivers and goose bumps?
MedLine Citation:
PMID:  11879385     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Autonomic seizures in temporal lobe epilepsies associated with "cold shivers and goose bumps" as a principal ictal sign or aura have only rarely been studied. METHODS: Sixteen patients with autonomic auras [cold shivers or cold sweats (n=11), goose bumps (n=4), one patient showed both ictal signs] were analyzed. RESULTS: Lesions were detected in 12 patients. The etiology was heterogeneous [cryptogenic, arteriovenous (AV)-malformation cyst, trauma, hippocampal sclerosis]. Eight patients underwent epilepsy surgery. The localization and lateralization of the focal epileptic activity in the temporal lobes was determined either by magnetic resonance imaging lesions, EEG, ictal signs, or single-photon emission computed tomography imaging. CONCLUSIONS: The patients with temporal lobe epilepsies associated with "cold shivers and/or goose bumps" showed a left hemispheric predominance of the focal abnormality in the temporal lobe.
Authors:
H Stefan; E Pauli; F Kerling; A Schwarz; C Koebnick
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Epilepsia     Volume:  43     ISSN:  0013-9580     ISO Abbreviation:  Epilepsia     Publication Date:  2002 Jan 
Date Detail:
Created Date:  2002-03-06     Completed Date:  2002-04-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  2983306R     Medline TA:  Epilepsia     Country:  United States    
Other Details:
Languages:  eng     Pagination:  41-5     Citation Subset:  IM    
Affiliation:
Department of Neurology-Center Epilepsy, University of Erlangen-Nürnberg, Germany. hermann.stefan@neuro.imed.uni-erlagen.de
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Autonomic Nervous System / physiopathology*
Cerebral Cortex / physiopathology*
Dominance, Cerebral*
Epilepsy / physiopathology*
Epilepsy, Temporal Lobe / physiopathology*,  surgery
Female
Humans
Limbic System / physiopathology
Male
Middle Aged
Piloerection
Shivering

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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