Hoffmann Judith M, Elger Christian E, Kleefuss-Lie Ailing A
Department of Epileptology, University of Bonn, Bonn, Germany.
Epilepsy Behav. 2008 Nov;13(4):634-6. doi: 10.1016/j.yebeh.2008.07.006. Epub 2008 Aug 8.
Analysis of ictal semiology is essential to presurgical evaluation of patients with epilepsy. To assess the localizing value of behavioral arrest in temporal lobe epilepsy (TLE), we analyzed 107 video/EEG monitoring-documented seizures of 107 adult patients with TLE for a set of defined seizure phenomena with respect to frequency and sequence of occurrence in relation to epileptogenic (mesial vs extramesial, left vs right) origin. Behavioral arrest was observed more frequently in left-sided temporal seizures: 25.7% of left-sided mesial seizures and 25.0% of left-sided extramesial seizures exhibited behavioral arrest, whereas only 3.4% of right-sided mesial seizures and 10.5% of right-sided extramesial seizures were associated with behavioral arrest. In addition, occurence of behavioral arrest within the sequence of seizure phenomena was remarkably consistent, being observed mainly as the first apparent feature of seizure onset. Thus, behavioral arrest is a valuable early indicator of a left-sided temporal epileptogenic focus in adult patients with TLE.
发作期症状学分析对于癫痫患者的术前评估至关重要。为评估行为停止在颞叶癫痫（TLE）中的定位价值，我们分析了107例成年TLE患者的107次视频/脑电图监测记录的发作，针对一组明确的发作现象，研究其与致痫灶（内侧与外侧、左侧与右侧）起源相关的发生频率和顺序。行为停止在左侧颞叶发作中更为常见：25.7%的左侧内侧发作和25.0%的左侧外侧发作出现行为停止，而只有3.4%的右侧内侧发作和10.5%的右侧外侧发作与行为停止有关。此外，行为停止在发作现象序列中的出现非常一致，主要表现为发作起始的首个明显特征。因此，行为停止是成年TLE患者左侧颞叶致痫灶的一个有价值的早期指标。
