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  • Print publication year: 2010
  • Online publication date: December 2010

Chapter 15 - Vegetative seizures


The most common cause of paroxysmal paresis of one side of the body with or without other associated symptoms is transient cerebral ischemia. The majority of patients with a paroxysmal paresis need a cerebral imaging. In the initial phase of encephalitis, transient focal neurological symptoms occur including paresis which poses like transient ischemic attacks (TIA). Acute paraparesis or paraplegia consists in most cases in incomplete or complete paresis of the legs. The rare paresis of both arms is called diplegia brachialis. In patients with acute teraparesis or tetraplegia, the first differential diagnosis is a spinal lesion in the upper part of the cervical spine. Associated are commonly sensory symptoms and bladder or bowel function disturbance. In cases of an acute paresis of one extremity or even only singular muscle groups of one extremity, a monoparesis or monoplegia is present depending on the fact if the paresis is incomplete or complete.

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BaumgartnerC, GroppelG, LeutmezerF, Aull-WatschingerS, PataraiaE, FeuchtM et al. Ictal urinary urge indicates seizure onset in the nondominant temporal lobe. Neurology 2000, 55(3):432–434.
FeindelW, PenfieldW. Localization of discharge in temporal lobe automatism. AMA Arch Neurol Psychiatry 1954, 72(5):603–630.
GowersWR.Epilepsy and other chronic convulsive diseases: their causes, symptoms & treatment. 2nd edn. London: J.&A. Churchill, 1901.
GowersWR. Aura in epilepsy: a statistical review of 1,359 cases. Arch Neurol Psychiatry 1933, 30:374–387.
HenkelA, NoachtarS, PfanderM, LudersHO. The localizing value of the abdominal aura and its evolution: a study in focal epilepsies. Neurology 2002, 58(2):271–276.
KramerRE, LudersH, GoldstickLP, DinnerDS, MorrisHH, LesserRP et al. Ictus emeticus: an electroclinical analysis. Neurology 1988, 38(7):1048–1052.
LhatooSD, SanderJ WAS. The Epilepsies. In: KennardC (ed.). Neurological disorders: course and treatment. San Diego, CA: Academic Press, 2003, p. 207–234.
LüdersHO, NoachtarS. Atlas of epileptic seizures and syndromes. Philadelphia: Saunders, 2001.
ModlinIM, KiddM, LatichI, ZikusokaMN, ShapiroMD. Current status of gastrointestinal carcinoids. Gastroenterology 2005, 128(6):1717–1751.
NoachtarS. Seizure semiology. In: LüdersHO (ed.). Epilepsy: comprehensive review and case discussions. London: Martin Dunitz Publishers, 2001, p. 127–140.
NoachtarS, LüdersHO. Classification of epileptic seizures and epileptic syndromes. In: GildenbergPL, TaskerRR. (eds.) Textbook of stereotactic and functional neurosurgery. New York: McGraw-Hill, 1997, pp. 1763–1774.
NoachtarS, RosenowF, ArnoldS, BaumgartnerC, EbnerA, HamerH et al. Semiologic classification of epileptic seizures. Nervenarzt 1998, 69(2):117–126.
NoachtarS, CarrenoM, FoldvaryN, LudersHO. Seizures and pseudoseizures. Suppl Clin Neurophysiol 2000, 53:259–270.
NoachtarS, WinklerPA, LüdersHO. Surgical therapy of epilepsy. In: BrandtT, CaplanC, DichgansJ, DienerJ, KennardC (eds.). Neurological disorders: course and treatment. 2nd edn. San Diego, CA: Academic Press, 2003, p. 235–244.
O’DonovanCA, BurgessRC, LudersHO. Autonomic auras. In: NoachtarS (ed.). Epileptic seizures: pathophysiology and clinical semiology. New York: Churchill Livingstone, 2000, p. 320–328.
PacakK, EisenhoferG, AhlmanH, BornsteinSR, Gimenez-RoqueploAP, GrossmanAB et al. Pheochromocytoma: recommendations for clinical practice from the First International Symposium. October 2005. Nat Clin Pract Endocrinol Metab 2007, 3(2):92–102.
PalminiA, GloorP. The localizing value of auras in partial epilepsies. Neurology 1992, 42:801–808.
PenfieldW, JasperH. Epilepsy and the functional anatomy of the human brain. Boston: Brown Little & Co., 1954.
SalehY, KirchnerA, PauliE, HilzMJ, NeundorferB, StefanH. Temporal lobe epilepsy: effect of focus side on the autonomic regulation of heart rate. Nervenarzt 2000, 71(6):477–480.
SchulzR, LudersHO, NoachtarS, MayT, SakamotoA, HolthausenH et al. Amnesia of the epileptic aura. Neurology 1995, 45(2):231–235.
SoNK. Epileptic auras. In: WyllieE (ed.). The treatment of epilepsy: principles and practice. Philadelphia: Lippincott, Williams & Wilkins, 2001, p. 299–308.
StefanH, PauliE, KerlingF, SchwarzA, KoebnickC. Autonomic auras: left hemispheric predominance of epileptic generators of cold shivers and goose bumps?Epilepsia 2002, 43(1):41–45.
SturmK, KnakeS, SchomburgU, WakatJP, HamerHM, FritzB et al. Autonomic seizures versus syncope in 18q- deletion syndrome: a case report. Epilepsia 2000, 41(8):1039–1043.
TinuperP, BisulliF, CerulloA, CarcangiuR, MariniC, PierangeliG et al. Ictal bradycardia in partial epileptic seizures: autonomic investigation in three cases and literature review. Brain 2001, 124(Pt 12):2361–2371.
van DonselaarC, GeertsA, SchimsheimerR. Usefulness of an aura for classification of a first generalized seizure. Epilepsia 1990, 31:529–535.
VossNF, DaviesKG, BoopFA, MontourisGD, HermannBP. Spitting automatism in complex partial seizures: a nondominant temporal localizing sign?Epilepsia 1999, 40(1):114–116.
WeilS, ArnoldS, EisensehrI, NoachtarS. Heart rate increase in otherwise subclinical seizures is different in temporal versus extratemporal seizure onset: support for temporal lobe autonomic influence. Epileptic Disord 2005, 7(3):199–204.
WennbergR. Postictal coughing and noserubbing coexist in temporal lobe epilepsy. Neurology 2001, 56(1):133–134.
WiebeS, BlumeWT, GirvinJP, EliasziwM. A randomized, controlled trial of surgery for temporal-lobe epilepsy. N Engl J Med 2001, 345:311–318.