Ictal emotional expressions of children with partial epilepsy

A. Fogarasi, J. Janszky, Ingrid Tuxhorn

Research output: Article

10 Citations (Scopus)

Abstract

Objective: To systematically analyze the lateralizing and localizing value of ictal emotional expressions (EEs) in children and compare these results with those of earlier adult studies. Methods: Five hundred fourteen seizures of 100 consecutive children ≤12 years with partial (61/100 temporal lobe) epilepsy and postoperative seizure free outcome were included in the study. Video recordings of seizures were reviewed by two independent investigators blinded to the patients' clinical data. Results: Thirty-five patients produced EE at least once during their archived seizures, including fear (15), crying (12), smile (9), pain (5), happiness (3), and laughing (in one case). Emotional symptoms were divided into two groups: positive (smile, laughing, and happiness) and negative EEs (fear, crying, and pain). Emotional expressions appeared more frequently during extratemporal (49%) than temporal (26%) lobe seizures (p <0.05). Positive EEs had an extratemporal dominance (p <0.05), while frequency of negative EEs did not localize the seizure onset zone. Assessing their lateralizing value, positive EEs were more frequent during right-sided seizures (p <0.05) while negative EEs did not lateralize the seizure onset zone. Frequency of EEs were independent of patients' ages, age at epilepsy onset or duration of epilepsy. Conclusion: This is the first comprehensive childhood study showing that ictal EEs are frequent in childhood and their localizing and lateralizing properties are different from those of adults.

Original languageEnglish
Pages (from-to)120-123
Number of pages4
JournalEpilepsia
Volume48
Issue number1
DOIs
Publication statusPublished - jan. 2007

Fingerprint

Partial Epilepsy
Seizures
Stroke
Crying
Happiness
Fear
Epilepsy
Pain
Video Recording
Temporal Lobe Epilepsy
Temporal Lobe
Age of Onset
Research Personnel

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

Cite this

Ictal emotional expressions of children with partial epilepsy. / Fogarasi, A.; Janszky, J.; Tuxhorn, Ingrid.

In: Epilepsia, Vol. 48, No. 1, 01.2007, p. 120-123.

Research output: Article

Fogarasi, A. ; Janszky, J. ; Tuxhorn, Ingrid. / Ictal emotional expressions of children with partial epilepsy. In: Epilepsia. 2007 ; Vol. 48, No. 1. pp. 120-123.
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