Chaudhari Rima M, Dash Deepa, Ramanujam Bhargavi, Rana Manit K, Appukuttan Renjith, Sharma Anubha, Kunwar Yuvraj, Tejaniya Gaurav, Padma Vasantha, Chandra Sarat P, Tripathi Manjari
Department of Neurology, All India Institute of Medical sciences, New Delhi, India.
Department of Neurosurgery, All India Institute of Medical sciences, New Delhi, India.
J Epilepsy Res. 2016 Dec 31;6(2):93-96. doi: 10.14581/jer.16017. eCollection 2016 Dec.
Differences in consciousness during seizures depend on the location of the seizure onset.
The present study evaluates ictal consciousness using the ictal consciousness inventory (ICI) in drug refractory mesial temporal (MTLE), neocortical temporal (NTLE) and extra temporal epilepsy (ETLE). This was a cross sectional cohort study with 45 patients with mesial temporal epilepsy, 47 with extra temporal and 11 patients with neocortical temporal epilepsy. The ICI a 20 item questionnaire was used to calculate the scores for level (L, question 1-10) and content (C, question 11-20) of consciousness.
The patients in mesial temporal group had higher ICI-L scores, = 0.0129 as compared to the extra temporal group, but no difference was observed in the content of consciousness. The ICI-L and C scores were not different in the mesial temporal and the neocortical temporal group ( = 0.53 and 0.65) respectively.
Patients with mesial temporal epilepsy had a higher level of consciousness than the extra temporal group but there was no difference in the content. Also there was no difference in the level and content of consciousness between mesial and the neocortical temporal group.
癫痫发作期间意识的差异取决于发作起始部位。
本研究使用发作期意识量表（ICI）评估药物难治性内侧颞叶癫痫（MTLE）、新皮质颞叶癫痫（NTLE）和颞叶外癫痫（ETLE）患者的发作期意识。这是一项横断面队列研究，纳入45例内侧颞叶癫痫患者、47例颞叶外癫痫患者和11例新皮质颞叶癫痫患者。ICI是一份包含20个条目的问卷，用于计算意识水平（L，问题1 - 10）和意识内容（C，问题11 - 20）的得分。
内侧颞叶组患者的ICI - L得分高于颞叶外组，与颞叶外组相比，P = 0.0129，但在意识内容方面未观察到差异。内侧颞叶组和新皮质颞叶组的ICI - L和C得分分别无差异（P = 0.53和0.65）。
内侧颞叶癫痫患者的意识水平高于颞叶外组，但在意识内容方面无差异。内侧颞叶组和新皮质颞叶组在意识水平和内容上也无差异。
