[Complex partial seizures: the localization value of automatisms].

Rev Neurol

Servicio de Neurología, Médico de Familia, Hospital Miguel Servet, Zaragoza, España.

Published: March 1997

Introduction: The clinical findings in complex partial crises may help our understanding of the different foci and vias of epileptogenesis.

Material And Methods: We analyse automatisms and findings on EEG and neuroimaging in 151 patients with different types of partial epilepsy, seeking to establish a possible correlation between the type of automatism and cerebral localization.

Results And Conclusions: The relative frequency of automatisms was: oro-alimentary 30%, mimicking 11%, gestures 35%, ambulatory 19% and verbal 13%. There was a statistically significant difference between the type of automatism and the topography of the EEG and neuroimaging findings. There were more gesture and oro-alimentary automatisms in patients with temporal anomalies, both on EEG and on neuroimaging, than in those with extratemporal alterations.

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