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Surface Ictal Electroencephalographic Patterns in Frontal vs Temporal Lobe Epilepsy

Published online by Cambridge University Press:  18 September 2015

Barbara E. Swartz ,
Gregory O. Walsh ,
Antonio V. Delgado-Escueta  and
Paolo Zolo
Barbara E. Swartz*
Affiliation:
Neurology and Research Services, VA Southwest Regional Epilepsy Center, VAMC W. Los Angeles, Wadsworth Division, and the Comprehensive Epilepsy Program, Los Angeles the Department of Neurology, UCLA School of Medicine, Los Angeles
Gregory O. Walsh
Affiliation:
the Department of Neurology, UCLA School of Medicine, Los Angeles
Antonio V. Delgado-Escueta
Affiliation:
Neurology and Research Services, VA Southwest Regional Epilepsy Center, VAMC W. Los Angeles, Wadsworth Division, and the Comprehensive Epilepsy Program, Los Angeles the Department of Neurology, UCLA School of Medicine, Los Angeles
Paolo Zolo
Affiliation:
the Comprehensive Epilepsy Program, Santa Monica Medical Center, Santa Monica, Epilepsy Center, Arezzo Hospital, Arezzo, Italy
*
Epilepsy Svc (W127B), VAMC Wadsworth, Los Angeles, California, U.S.A. 90073
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Abstract:

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The effectiveness of long term EEG monitoring in the localization of the epileptic focus was studied in 37 patients with temporal lobe epilepsy comprising 190 recorded seizures, in 19 frontal lobe epileptic patients with 172 recorded seizures and in 12 additional patients which were classified as fronto-temporal. In the temporal lobe group, 49/190 seizures began focally (26%) and 20/190 seizures exhibited a regional onset (10%). In the frontal lobe group, only 21 out of 172 seizures (12%) had a focal ictal onset. 41/172 seizures began regionally (24%). In the fronto-temporal group, 31/55 seizures disclosed a focal EEG onset (57%). This study demonstrates that there is a two-fold increase in seizures beginning focally in the temporal lobe epilepsy group versus the frontal lobe group.

Type
Research Article
Information
Canadian Journal of Neurological Sciences , Volume 18 , Issue S4 , November 1991 , pp. 649 - 662
Copyright
Copyright © Canadian Neurological Sciences Federation 1991

References

REFERENCES

1.Rossi, GF. Problems of analysis and interpretation of electrocerebral signals in human epilepsy. A Neurosurgeon’s View. In: Brazier, MAB, ed. Epilepsy: Its Phenomena in Man. New York: Academic Press 1973; 259–285.CrossRefGoogle Scholar
2.Gloor, P. Contributions of electroencephalography and electrocor-ticography to the neurosurgical treatment of the epilepsies. In: Purpura, DP, Penry, JD, Walter, RD, eds. Neurosurgical Management of the Epilepsies. New York: Raven Press 1975; 59–105.Google Scholar
3.Quesney, FA, Gloor, P. Localization of epileptic foci. In: Gorman, JJ, Ives, JR, Gloor, P, eds. Long-term Monitoring in Epilepsy. Electroencephalogr Clin Neurophysiol (Suppl 37). Elsevier Science Publ 1985; 165–200.Google Scholar
4.Fegersten, L, Roger, A. Frontal epileptogenic foci and their clinical correlations. Electroencephalogr Clin Neurophysiol 1961; 13: 905–913.CrossRefGoogle Scholar
5.Rasmussen, T. Surgery of frontal lobe epilepsy. In: Purpura, DP, Penry, JK, Walter, RD, eds. Advances Neurology. New York: Raven Press 1975; 197–204.Google Scholar
6.Rasmussen, T. Characteristics of a pure culture of frontal lobe epilepsy. Epilepsia 1983; 24: 482–493.CrossRefGoogle ScholarPubMed
7.Ajmone-Marsan, C, Abraham, SK. A seizure atlas. Electro-encephalograph Clin Neurophysiol 1957; 15 (Suppl 1): 215.Google Scholar
8.Ajmone-Marsan, C, Abraham, SK. Considerations on the use of chronically implanted electrodes in seizure disorders. Conf Neurol (Basel) 1966; 27: 95–110.CrossRefGoogle Scholar
9.Ajmone-Marsan, C, Goldhammer, L. Clinical ictal patterns and elec-trographic data in cases of partial seizures of fronto-central-pari-etal origin. In: Brazier, MAB, ed. Epilepsy: Its Phenomena in Man. New York: Academic Press 1973; 235–258.Google Scholar
10.Ludwig, B, Ajmone-Marsan, C, Van Buren, J. Depth and direct cortical recording in seizures of extratemporal origin. Neurology 1975; 26: 1025–1099.Google Scholar
11.Williamson, PD, Spencer, DD, Spencer, SS, et al. Complex partial seizures of frontal lobe origin. Ann Neurol 1985; 18: 497–504.CrossRefGoogle ScholarPubMed
12.Williamson, PD, Spencer, SS. Intensive monitoring for complex partial seizures. Epilepsia 1986; S46–63.Google Scholar
13.Williamson, P, Wieser, HG, Delgado-Escueta, AV. Clinical characteristics of partial seizures. In: Engel, J Jr, ed. Surgical Treatment of the Epilepsies. New York: Raven Press 1987; 101–123.Google Scholar
14.Quesney, LF. Extracranial EEG Evaluation. In: Engel, J Jr. Surgical Treatment of the Epilepsies. New York: Raven Press 1987; 167–172.Google Scholar
15.Quesney, LF, Krieger, C, Leitner, C, et al. Frontal Lobe Epilepsy: Clinical and EEG presentation. In: Porter, RJ, et al., eds. Advances in Epileptology. XVth Epilepsy Intl Symposium. New York: Raven Press 1984; 503–508.Google Scholar
16.Bancaud, J, Talairach, J, Bonis, A, et al. La stereo-electroencephalo-graphiedans l’epilepsie. Paris: Masson 1965.Google Scholar
17.Bancaud, J, Bonis, A, Munari, C, et al. Localizing value of the clinical manifestations of the partial seizures. Acta Neurochir (Wien) (Suppl) 1984; 33: 7–15.Google Scholar
18.Geier, S, Bancaud, J, Talairach, J, et al. Automatisms during frontal lobe epileptic seizures. Brain 1976; 99: 447–458.CrossRefGoogle ScholarPubMed
19.Geier, S, Bancaud, J, Talairach, J, et al. The seizures of frontal lobe epilepsy: A study of clinical manifestations. Neurology 1977; 27: 951–958.CrossRefGoogle ScholarPubMed
20.Morris, HH, Dinner, DS, Luders, H, et al. Supplementary motor seizures: Clinical and electroencephalographic findings. Neurology 1988; 38(7): 1075–1082.CrossRefGoogle ScholarPubMed
20a. Wyllie, E, Lüder, SH, Morris, HH, Lesser, RP, Dinner, DS, Hahn, J, Estes, ML, Rothner, AD, Erenberg, G, Crus, R, Friedman, D. Clinical outcome after complete or partial resection for intractable epilepsy. Neurology 1987; 33(10): 1634–1641.CrossRefGoogle Scholar
21.Delgado-Escueta, AV, Swartz, B, Maldonaldo, H, et al. Complex partial seizures of frontal lobe origin. In: Wieser, HG, Elger, CE, eds. Presurgical Evaluation of the Epileptics. New York: Springer 1987.Google Scholar
22.Swartz, BE, Delgado-Escueta, AV. Extratemporal complex partial seizures: “The evidence for”. In: Wieser, HG, Speckmann, EJ, Engel, J Jr, eds. Current Problems in Epilepsy 1987; 137–174.Google Scholar
23.Walsh, GO, Delgado-Escueta, AV. Type II complex partial seizures:Poor results of anterior temporal lobectomy. Neurology (Cleveland) 1984; 34: 1–13.Google Scholar
24.Cahan, L, Sutherling, W, McCulough, MA, et al. Review of the 20 year UCLA experience with surgery for epilepsy. Cleve Clin Q 1984; 51: 313–318.Google Scholar
25.Swartz, BE, Delgado-Escueta, AV, Walsh, GO, et al. Neuroimaging in focal epilepsy with pathological correlates. A retrospective review. Presented at Western EEG Society Meeting 1989; (Jan).Google Scholar
26.Delgado-Escueta, AV. Seizures. In: Kelley, WN, ed. Textbook of Internal Medicine. New York: J.D. Lippincott Co. 1990, in press.Google Scholar
27.Engel, J Jr, Driver, MV, Falconer, MA. Electrophysiological corre-lates of pathology and surgical results in temporal lobe epilepsy. Brain 1975; 98: 129–156.Google Scholar
28.Rasmussen, T. Surgery for epilepsy arising in regions other than the temporal and frontal lobes. In: Purpura, DP, Penry, JK, Walter, RD, eds. Advances in Neurology. New York: Raven Press 1975; 207–226.Google Scholar
29.Walter, RD. Principles of clinical investigation of surgical candidates. In: Purpura, DP, Penry, JD, Walter, RD, eds. Neurosurgical Management of the Epilepsies. New York: Raven Press 1975; 49–58.Google Scholar
30.Gastaut, H, Vigouroux, M. Electroclinical correlations in 500 cases of psychomotor seizures. In: Baldwin, M, Bailey, P, ed. Temporal Lobe Epilepsy. Springfield: Thomas 1967; 118–128.Google Scholar
31.Gloor, P. The EEG in seizure disorders. A neurobiological view and some new technological applications. In: Symposia Specialists Inc. Chicago: Year Book of Medical Publishers 1980; 31–50.Google Scholar
32.Crandall, PH. Developments in direct recordings from epileptogenic regions in the surgical treatment of partial epilepsies. In: Brazier, MAB, ed. Epilepsy: Its Phenomena in Man. New York: Academic Press 1973; 287–310.CrossRefGoogle Scholar
33.Crandall, PH. Post-operative management and criteria for evaluation. In: Purpura, DP, Penry, KJ, Walter, RD, ed. Advances in Neurology. New York: Raven Press 1975; 265–280.Google Scholar
33a. Christodoulou, G. Sphenoidal electrodes. Their significance in diagnosing temporal lobe epileptogenic foci. Acta Neurol Scand 1967; 43: 587–593.CrossRefGoogle ScholarPubMed
34.Walter, RD. Tactical considerations leading to surgical treatment of limbic epilepsy. In: Brazier, MAB, ed. Epilepsy: Its Phenomena in Man. New York: Academic Press 1973; 99–119.CrossRefGoogle Scholar
35.Wieser, HG. Electroclinical features of the psychomotor seizure. 1983.Google Scholar
36.Spencer, SS, Spencer, DD, Williamson, PD, et al. The localizing value of depth electroence halography in 32 refractory epileptic patients. Ann Neurol 1982; 12: 248–253.CrossRefGoogle Scholar
37.Spencer, SS, Spencer, DD, Williamson, PD, et al. Sexual automatisms in partial complex seizures. Neurology 1983; 33: 527–533.CrossRefGoogle Scholar
38.Ajmone-Marsan, C. Depth electrography and electrocorticography in electrodiagnosis. In: Aminoff, MJJ, ed. Clinical Neurology. New York: Churchill Livingston 1980; 167–196.Google Scholar
39.Ludwig, B, Ajmone-Marsan, C, Van Buren, J. Depth and direct cortical recording in seizures of extratemporal origin. Neurology 1975; 26: 1025–1099.Google Scholar
40.Bancaud, J. Role du cortex cerebral dans les epilepsies generalisees d’origine organique. Apport de investigations stereoencephalo-graphiques (SEEG) a la discussion de la conception, centren-cephalique. Presse Med 1971; 79: 669–673.Google Scholar
41.Bancaud, J. Surgery of epilepsy based on stereotactic investigations — the plan of the SEEG investigation. Acta Neurochir (Wien) (Suppl) 1981; 30: 25–34.Google Scholar
42.Penfield, W, Jasper, H. Epilepsy and the Functional Anatomy of the Human Brain. 1954.Google Scholar
43.Spencer, SS, Williamson, PD, Bridgers, SL, et al. Reliability and accuracy of localization by scalp ictal EEG. Neurology 1985; 35: 1567–1575.CrossRefGoogle ScholarPubMed
44.Engel, J Jr, P.H., C. Falsely localizing ictal onsets with depth EEG telemetry during anticonvulsant withdrawal. Epilepsia 1983; 24: 344–355.CrossRefGoogle ScholarPubMed
45.Veilleux, F, Saint-Hilaire, JM, Giard, N, et al. Clinical manifestations of seizures of the human medial frontal lobe. In: Chauvel, P, Delgado-Escueta, AV, Halgren, E, et al., eds. Frontal Lobe Seizures and Epilepsies. New York: Raven Press 1990, in press.Google Scholar
46.Mazars, G. Cingulate gyrus epileptogenic foci as an origin for generalized seizures. In: Gastaut, H, Jasper, H, Bancaud, J, et al., ed. The Physiopathogenesis of the Epilepsies. Springfield: Charles C. Thomas 1969; 186–189.Google Scholar
47.Buser, P, Bancaud, J, Talairach, J. Depth recordings in man in temporal lobe epilepsy. In: Brazier, MAB, ed. Epilepsy: Its Phenomena in Man. New York: Academic Press 1973.Google Scholar
48.Tukel, K, Jasper, H. The EEG in parasagittal lesions. Electroencephalogr Clin Neurophysiol 1952; 4: 481–494.CrossRefGoogle ScholarPubMed
49.Ralston, B. Cingulate epilepsy and secondary bilateral synchrony. Electroencephalogr Clin Neurophysiol 1961; 13: 591–598.CrossRefGoogle ScholarPubMed
50.Neidermeyer, E. The generalized multiple spike discharge. An electro-clinical study. Electroencephalogr Clin Neurophysiol 1966; 20: 133–138.CrossRefGoogle Scholar
51.Mazars, G. Criteria for identifying cingulate epilepsy. Epilepsia 1970; 11: 41–47.CrossRefGoogle Scholar
52.Gastaut, H. The Epilepsies 1964; 149.Google ScholarPubMed
53.Risinger, MW, Engel, J Jr, Van Ness, PC, et al. Ictal localization of temporal lobe seizures with scalp/sphenoidal recordings. Neurology 1989; 39(10): 1288–1293.CrossRefGoogle ScholarPubMed
54.King, DW, Flanigan, HF, Gallagher, BB, et al. Temporal lobectomy for partial seizures: Evaluation, results and 1-year follow-up. Neurology 1986; 36(3): 334–339.CrossRefGoogle ScholarPubMed
55.Maldonaldo, HM, Delgado-Escueta, AV, Swartz, BE, Walsh, GO, Halgren, E, Rand, RW. Distinguishing frontal from temporal lobe complex partial seizures. Epilepsia 1988; 29 (5): 706.Google Scholar
56.Swartz, BE, Delgado-Escueta, AV, Walsh, GO. Ictal onsets on surface EEG in temporal lobe epilepsy. Epilepsia 1989; 30(5): 695–696.Google Scholar
57.Lieb, JP, Engel, JJ, Gevins, A, Crandall, P. Surface and deep EEG correlates of surgical outcome in temporal lobe epilepsy. Epilepsia 1981; 22: 515–538.CrossRefGoogle ScholarPubMed
58.Dodrill, CB, Wilkins, RJ, Ojemann, GA, et al. Multidisciplinary pre-dictions of seizure relief from cortical resective surgery. Ann Neurol 1986; 20: 2–12.CrossRefGoogle Scholar
59.Swartz, BE, Delgado-Escueta, AV. Predictors of post-surgical out-come in temporal lobe epilepsy. Presented at the Cleveland Clinic International Symposium on Epilepsy Surgery 1990 (July).Google Scholar
60.King, DW, So, EL, Marcus, R, et al. Techniques and applications of sphenoidal recording. J Clin Neurophysiol 1986; 3(1): 51–65.CrossRefGoogle Scholar
61.Nauta, WJH. Neural associations of the frontal cortex. Acta Neurobiol Exp (Warz) 1972; 32: 125–140.Google ScholarPubMed
62.Harner, R, Sussmman, NM, Jackel, RA. EEG topography of epileptogenic zones in the frontal lobe. Epilepsia 1988; 29(2): 211.Google Scholar
63.Squires, NK, Halgren, E, Wilson, CL, et al. Human endogenous limbic potentials: Cross modality and depth/surface comparisons in epileptic subjects. In: Gaitland, AWK, Ritter, W, eds. Amsterdam: N Holland 1983; 217–232.Google Scholar