Predictive Clinical Factors for the Differential Diagnosis of Childhood Extratemporal Seizures

摘要: Summary: Purpose: To describe predictive clinical factors for the differentiation between childhood frontal lobe epilepsy (FLE) and posterior cortex (PCE). Methods: Two independent, blinded investigators analyzed 177 seizures from 35 children (aged 11 months to 12 years) with extratemporal selected by postoperative seizure-free outcome. Semiologic seizure components different periictal signs were observed. Age at onset, auras, frequency, nocturnal dominance, as well surgical histopathologic data, collected medical charts. Results: Twenty patients had FLE, 15 PCE. Patients both groups daily without significant differences in frequency but higher dominance FLE (p < 0.05). Visual aura, nystagmus, versive observed exclusively PCE group, whereas somatosensory aura hypermotor appeared only FLE. Tonic significantly more frequent 0.01), presence of clonic (FLE; p = 0.07) postictal nose-wiping (PCE; 0.05) showed a trend localize seizure-onset zone. Myoclonic seizures, epileptic spasms, psychomotor atonic oral manual automatisms, vocalization eye deviation their frequency. Conclusions: Characteristic features described adults' epilepsies frequently missing during especially infants preschool children. Ictal help little differentiating Nocturnal appearance type have high localizing value; therefore an accurate history taking is still essential element pediatric presurgical evaluation.