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タイトル: | Absence of an Autonomic Sign Assists in the Diagnosis of Extratemporal Lobe Epilepsy Manifesting Generalized Convulsion with Retained Awareness |
著者: | Neshige, Shuichiro Matsumoto, Riki Inouchi, Morito Kobayashi, Katsuya https://orcid.org/0000-0002-5492-1660 (unconfirmed) Shimotake, Akihiro Maruyama, Hirofumi Takahashi, Ryosuke https://orcid.org/0000-0002-1407-9640 (unconfirmed) Ikeda, Akio https://orcid.org/0000-0002-0790-2598 (unconfirmed) |
著者名の別形: | 音成, 秀一郎 松本, 理器 井内, 盛遠 小林, 勝哉 下竹, 昭寛 高橋, 良輔 池田, 昭夫 |
キーワード: | generalized consciousness autonomic symptoms non-dominant hemisphere insula |
発行日: | 15-Apr-2019 |
出版者: | Japanese Society of Internal Medicine |
誌名: | Internal Medicine |
巻: | 58 |
号: | 8 |
開始ページ: | 1151 |
終了ページ: | 1155 |
抄録: | We herein report two epilepsy patients with the seizure focus in the non-dominant hemisphere manifesting secondarily generalized convulsion (sGC) with retained awareness characterized by a lack of autonomic signs although GC was complicated by respiratory arrest. Given the semiology and electrophysiological findings, the seizure activity was considered to propagate to the supplementary-motor area and the bilateral primary-motor area, with a clinical manifestation of sGC. The absence of autonomic signs during GC can be a key indicator that the seizure remains in the bilateral suprasylvian area and thus does not involve the region necessary for awareness preservation, which may assist in the diagnosis of this atypical epileptic seizure. |
著作権等: | The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/ by-nc-nd/4.0/). |
URI: | http://hdl.handle.net/2433/241268 |
DOI(出版社版): | 10.2169/internalmedicine.1740-18 |
PubMed ID: | 30568140 |
出現コレクション: | 学術雑誌掲載論文等 |
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