SEIZURES INVOLVING SECONDARY SENSORY AND RELATED AREAS

Five patients with seizures involving the secondary sensory and/or related areas (SSRA) are presented. Four of five experienced ictal numbness and'or tingling bilaterally and/or axially, this involved fingertips (three patients), lips (two), tongue (two), and was diffuse in one. The fifth patie...

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Bibliographic Details
Published in:Brain (London, England : 1878) England : 1878), 1992-10, Vol.115 (5), p.1509-1520
Main Authors: BLUME, WARREN T., JONES, DANIEL C., YOUNG, G. BRYAN, GRAVIN, JOHN P., MCLACHLAN, RICHARD S.
Format: Article
Language:English
Subjects:
Adult
Aged
Biological and medical sciences
Cerebral Cortex - physiopathology
Female
Fingers - physiopathology
Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy
Humans
Lip - physiopathology
Male
Medical sciences
Middle Aged
Nervous system (semeiology, syndromes)
Neurology
Seizures - physiopathology
Sensation
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Summary:Five patients with seizures involving the secondary sensory and/or related areas (SSRA) are presented. Four of five experienced ictal numbness and'or tingling bilaterally and/or axially, this involved fingertips (three patients), lips (two), tongue (two), and was diffuse in one. The fifth patient experienced bilateral ictal pain. Associated ictal symptoms implicating adjacent regions appeared in all five patients, including contralateral clonic movements (two patients), hypersalivation (two), taste (one), vocalization (two), dysphagia (one), and contralateral sensory march (one). Two patients had ictal symptoms suggestive of adjacent temporal lobe involvement. By history, the SSRA was involved at seizure onset in four and by spread in one. All five patients had electroencephalogram (EEG) or subdural EEG supportive evidence of SSRA involvement: ictal (three) and interictal (three). Three patients had lesions in this area shown by magnetic resonance imaging or computerized tomography and all three had histologically proven glial tumours. Relevant experimental physiological and anatomical data are reviewed.
ISSN:0006-8950
1460-2156
DOI:10.1093/brain/115.5.1509