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Introduction à l'Etude Clinique des Crises Epileptiques Rétrorolandiques

Published online by Cambridge University Press:  18 September 2015

J. Baucaud ,
J. Talairach ,
C. Munari ,
T. Giallonardo  and
P. Brunet
J. Baucaud*
Affiliation:
Institut National de la Santé et de la Recherche Médicale, Unité de Recherches sur l'Epilepsie
J. Talairach
Affiliation:
Institut National de la Santé et de la Recherche Médicale, Unité de Recherches sur l'Epilepsie
C. Munari
Affiliation:
Institut National de la Santé et de la Recherche Médicale, Unité de Recherches sur l'Epilepsie
T. Giallonardo
Affiliation:
Institut National de la Santé et de la Recherche Médicale, Unité de Recherches sur l'Epilepsie
P. Brunet
Affiliation:
Institut National de la Santé et de la Recherche Médicale, Unité de Recherches sur l'Epilepsie
*
Institut National de la Santé et de la Recherche Médicale, Unité de Recherches sur 1' Epilepsie, Centre Paul Braca, 2 ter, rue d'Alésia, 75014 Paris, France
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Abstract:

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An introduction to the clinical study of postrolandic epileptic seizures. We reviewed, in 145 epilectics studied with SEEG, 800 clinical and electrographic seizures originating from the post-rolandic areas (590 spontaneous Sz and 260 induced by stimulation). The intra-cranial electrodes were implanted using a technique described by Talairach et al. (1974). Seizure onsets were recorded in the centro-parietal region (64 patients) in the partietal49 and in the occipital region.15 Additionally in 15 patients, mixed Sz onset were recorded. One hundred and eight (108) patients underwent surgical removal of their epileptic focus. (69 on the right, 39 on left.) 65% were cured (Sz free or occas Sz, f/up 3 years). The main ictal cal features are discussed. Emphasis is placed on the role of the operculo-insular cortex in the functional organization in man, based on Sz arising from the supra-temporal (fronto-pariental) cortex. The study of the pattern of onset and spread of seizures originating in the post-rolandic areas and of their clinical correlates allow a topographic differential diagnosis.

Type
Research Article
Information
Canadian Journal of Neurological Sciences , Volume 18 , Issue S4 , November 1991 , pp. 566 - 569
Copyright
Copyright © Canadian Neurological Sciences Federation 1991

References

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