Document Detail

Ictal non-forced grasping behaviour.
MedLine Citation:
PMID:  18217884     Owner:  NLM     Status:  MEDLINE    
Our aim was to investigate whether patients with epileptiform foci in the frontal lobe, as revealed by video EEG (VEEG) analysis, exhibit non-forced grasping behaviour and manipulatory movements during seizures. We retrospectively reviewed ictal videotapes of 30 consecutive patients with frontal and 30 with temporal lobe epilepsy undergoing VEEG for the presence and type of grasping and manipulatory movements. Four of the 30 patients with frontal lobe epilepsy (13%) showed unilateral grasping behaviour, three of whom had whole hand prehension (one with manipulation movements as well) and one pinching movements. In all patients, arm abduction and elevation resembling reaching invariably preceded grasping hand movements. The epileptogenic focus was located in the contralateral and ipsilateral frontocentral region in two and one patient, respectively, and in the ipsilateral orbitofrontal region in another. However, none of the patients with temporal lobe epilepsy showed grasping behaviour. Patients with frontal lobe epilepsy may show non-forced grasping with or without manipulatory finger movements as part of ictal phenomena.
R C Leiguarda; M I Nouzeilles; G Ugarnes; A Amengual; E Roldán; E Fridman; C D'Giano; M Merello
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  European journal of neurology : the official journal of the European Federation of Neurological Societies     Volume:  15     ISSN:  1468-1331     ISO Abbreviation:  Eur. J. Neurol.     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2008-01-25     Completed Date:  2008-03-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9506311     Medline TA:  Eur J Neurol     Country:  England    
Other Details:
Languages:  eng     Pagination:  169-72     Citation Subset:  IM    
Department of Neurology, Institute of Neurological Research (FLENI), Buenos Aires, Argentina.
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MeSH Terms
Epilepsy, Frontal Lobe / diagnosis,  physiopathology*
Epilepsy, Temporal Lobe / diagnosis,  physiopathology
Hand / physiopathology*
Hand Strength*
Motor Activity*
Reaction Time
Retrospective Studies
Videotape Recording

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

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