Ictal affective symptoms in temporal lobe epilepsy are related to gender and age.

Purpose: We systematically analyzed the video-recorded and patient-reported, as well as positive and negative ictal affective symptoms (IAS) in temporal lobe epilepsy (TLE). Our aim was to assess (1) frequency, (2) gender effect, (3) lateralizing significance, (4) localizing value, and (5) prognostic significance in epilepsy surgery of IAS in patients with video-registered seizures.

Methods: We reviewed ictal video recordings of 184 patients (99 women, aged 16-63).

Ictal vocalizations occur more often in temporal lobe epilepsy with dominant (left-sided) epileptogenic zone.

Objective: To investigate the lateralization value of ictal vocalizations in temporal lobe epilepsy (TLE).

Methods: We reviewed video-recordings of 97 patients who had undergone presurgical evaluation programs with video-EEG (electroencephalography)-recorded complex partial seizures (CPS) and high-resolution magnetic resonance imaging (MRI). All patients had surgery due to TLE and became seizure-free.

[Effect of epileptic seizures on the heart rate].

Background: Sudden death appears in 8-17% of epilepsy patients non-responding to antiepileptic therapy. Some studies suggest that the most common cause of death is seizure-related cardiac arrhythmia.

Aim Of Study: To analyze the alteration of the heart rate six hours before and after the seizures.

Peri-ictal water drinking in temporal lobe epilepsy: Is it a reliable lateralizing sign?

Peri-ictal water drinking has been reported to be a lateralizing sign to the right side in temporal lobe epilepsy (TLE). As peri-ictal water drinking is relatively common in our own patients with TLE, we wanted to evaluate its lateralization value for ourselves. We reviewed the data for 55 adult patients with TLE who had undergone epilepsy surgery with a favorable postoperative outcome in our center.

Juvenile myoclonic epilepsy starting in the eighth decade.

Juvenile myoclonic epilepsy (JME) typically begins at age 10-17 years. We present two patients, with no previous history of epileptic seizures, in whom JME began after the age of 70. The clinical picture of these patients did not differ from "typical" JME except for the patient's age and age at epilepsy-onset.