Clinical Study on Epileptic Aura in Children with Temporal Lobe Epilepsy.

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  • Ohtsu Mayu
    Department of Pediatrics, Tokyo Women's Medical University, School of Medicine
  • Oguni Hirokazu
    Department of Pediatrics, Tokyo Women's Medical University, School of Medicine
  • Awaya Yutaka
    Department of Pediatrics, Tokyo Women's Medical University, School of Medicine Department of Pediatrics, Seibo International Catholic Hospital
  • Osawa Makiko
    Department of Pediatrics, Tokyo Women's Medical University, School of Medicine

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  • 小児期側頭葉てんかんの前兆に関する臨床的研究

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Abstract

We studied the clinical characteristics of epileptic aura with temporal lobe epilepsy (TLE) in children, by retrospectively reviewing medical records of 33 patients whose first seizures developed under 15 years of age. The diagnosis of TLE was made by interictal EEG and head MRI/SPECT, both of which demonstrated a temporal lesion. The patients were classified into 24 with mesial TLE syndrome, 3 with a temporal lobe tumor, 3 with temporal lobe dysplasia and 3 with other causes. The epileptic aura was not recognized in 5 patients (15%). The age at onset of aura ranged from 4 to 10 years with a median age at 7. In patients older than 10, it was always followed by impairment of consciousness. It was manifested with nausea in 14 patients (42%), vertigo, a sense of fear, palpitation and heating sensation on the back in three patients (9%) each. Thus, clinical manifestations of epileptic aura in children with TLE were largely identical to those of adult patients.<BR>Detailed history taking about the aura may provide a clue to the diagnosis of TLE even in children.

Journal

  • NO TO HATATSU

    NO TO HATATSU 33 (5), 409-415, 2001

    THE JAPANESE SOCIETY OF CHILD NEUROLOGY

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