PT  - JOURNAL ARTICLE
AU  - Dudley S. Dinner
AU  - Hans Lüders
AU  - A. David Rothner
AU  - Gerald Erenberg
TI  - Complex partial seizures of childhood onset: a clinical and encephalography: study
DP  - 1984 Jun 20
TA  - Cleveland Clinic Journal of Medicine
PG  - 287--291
VI  - 51
IP  - 2
4099  - http://www.ccjm.org/content/51/2/287.short
4100  - http://www.ccjm.org/content/51/2/287.full
SO  - Cleve Clin J Med1984 Jun 20; 51
AB  - 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.