Misc.

Oct 1, 2000

Myoclonic seizures combined with partial seizures and probable pathophysiology of secondary bilateral synchrony

Clinical Neurophysiology
  • K. Kobayashi
  • ,
  • S. Maniwa
  • ,
  • T. Ogino
  • ,
  • H. Yoshinaga
  • ,
  • Y. Ohtsuka
  • ,
  • E. Oka

Volume
111
Number
10
First page
1813
Last page
1816
Language
English
Publishing type
DOI
10.1016/S1388-2457(00)00390-4

Objective: We report on a patient who showed an unusual transition from complex partial seizures to a combination of myoclonic seizures and partial seizures, and then to isolated myoclonic seizures. The pathophysiological mechanism of the myoclonic seizures in this uncommon condition was studied. Methods: The interhemispheric small time differences were estimated in the ictal EEG discharges of myoclonic seizures for differentiation between primary and secondary bilateral synchrony. The estimation was performed by coherence and phase analysis based on the two-dimensional autoregressive model. Results: The estimated interhemispheric time differences were at most 27.4 ms. The ictal activity of the myoclonic seizures was suggested to originate from a cortical focus in the right hemisphere, which was also the origin of the partial seizures. Conclusion: The patient was considered to have an unusual type of myoclonic seizures with a probable pathophysiological mechanism of secondary bilateral synchrony. © 2000 Elsevier Science Ireland Ltd.

Link information
DOI
https://doi.org/10.1016/S1388-2457(00)00390-4
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/11018497
ID information
  • DOI : 10.1016/S1388-2457(00)00390-4
  • ISSN : 1388-2457
  • Pubmed ID : 11018497
  • SCOPUS ID : 0034308023

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