Page 130 - ILAE_Lectures_2015
P. 130
ral lobe seizures.
Typical absences (IGE)
mplicated Frequent but rarely
prolonged or complicated
rtial seizures (familial TLE)
ecade Positive in up to 40% of patients
Usually syndrome-related
Continuous*
Usually in the morning/after awakening
nd legs. Ipsilateral to the focus Never
dystonic posture may occur in
As a rule
Typical (but usually syndrome-related, as
in JME and EMA)
Varies (often syndrome-related)
Up to about 2/3 of seizures, rarely
involving trunk or legs
e ictal sequence Frequent, bilateral, mainly restricted to
the eyelids or mouth
t, dysphasia if onset from the Only during absence status
ay occasionally occur Exceptional
l spikes, or regional slow Well recognised feature
rsts of spike-wave may occur Never
ry bilateral synchrony
Generalised spike and wave discharges at
4–2.5 Hz. Focal spikes may occur in up
to 30–40% of traces but they show
frontal topography, and do not disturb
background activity
Generalised onset
be present) Normal
