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I. Epilepsy: Current Concepts in Diagnosis and Treatment

Complex partial seizures of childhood onset: a clinical and encephalography: study

Dudley S. Dinner, M.D., Hans Lüders, M.D., Ph.D., A. David Rothner, M.D. and Gerald Erenberg, M.D.
Cleveland Clinic Journal of Medicine June 1984, 51 (2) 287-291;
Dudley S. Dinner
Department of Neurology, The Cleveland Clinic Foundation
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Hans Lüders
Department of Neurology, The Cleveland Clinic Foundation
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A. David Rothner
Departments of Neurology, Pediatric and Adolescent Medicine, The Cleveland Clinic Foundation
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Gerald Erenberg
Departments of Neurology, Pediatric and Adolescent Medicine, The Cleveland Clinic Foundation
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ABSTRACT

Electroclinical manifestations of 30 patients with complex partial seizures (CPS) of childhood onset (<16 yr) were evaluated. Only patients with both clinical CPS and focal specific epileptiform activity shown on the electroencephalogram were selected. Febrile convulsions were present in 9 patients, suggesting that they play a significant role in the pathogenesis of CPS. All patients had a period of unresponsiveness with a blank stare and amnesia; 21 had an aura, including affective symptoms in 20. Hallucinations (5) and illusions (1) were infrequent. Only 16 had epileptiform discharges in their initial waking record, whereas in 8 others, epileptiform discharges were activated during sleep. Foci were predominantly unilateral (28) and mostly temporal (26); only 2 were bi-temporal, in contrast to the reported incidence of 31%- 42% in adults, suggesting that the natural evolution of unilateral foci is to become bilateral.

Index terms
  • Epilepsy
  • focal
  • Seizures
  • Received October 1983.
  • Accepted October 1983.
  • Copyright © 1984 The Cleveland Clinic Foundation. All Rights Reserved.

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In this issue

Cleveland Clinic Journal of Medicine: 51 (2)
Cleveland Clinic Journal of Medicine
Vol. 51, Issue 2
20 Jun 1984
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Complex partial seizures of childhood onset: a clinical and encephalography: study
Dudley S. Dinner, Hans Lüders, A. David Rothner, Gerald Erenberg
Cleveland Clinic Journal of Medicine Jun 1984, 51 (2) 287-291;

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Complex partial seizures of childhood onset: a clinical and encephalography: study
Dudley S. Dinner, Hans Lüders, A. David Rothner, Gerald Erenberg
Cleveland Clinic Journal of Medicine Jun 1984, 51 (2) 287-291;
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More in this TOC Section

I. Epilepsy: Current Concepts in Diagnosis and Treatment

  • Evaluation of the child with seizures
  • Febrile convulsions: a new look at an old problem
  • Antiepileptic Drug Development Program
Show more I. Epilepsy: Current Concepts in Diagnosis and Treatment

Contributions

  • Evaluation of the child with seizures
  • Febrile convulsions: a new look at an old problem
  • Antiepileptic Drug Development Program
Show more Contributions

Similar Articles

Keywords

  • Epilepsy
  • focal
  • SEIZURES

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