TY - JOUR
T1 - Multifocal independent epileptiform discharges in children
T2 - Ictal correlates and surgical therapy
AU - Burnstine, Thomas H.
AU - Vining, Eileen P.G.
AU - Uematsu, Sumio
AU - Lesser, Ronald P.
PY - 1991/8
Y1 - 1991/8
N2 - We obtained continuous EEG/video recordings on four children who had the interictal EEG pattern of multifocal independent epileptiform discharges (MIED). The prominent feature of their evaluation was the evidence that their clinical seizures appeared to be of focal origin; 42/44 seizures were manifested by “fencing postures.” Three patients subsequently underwent epilepsy surgery: one focal resection of superior frontal-parietal cortex and two hemidecorticectomies. Seizure control improved in all three patients, and one patient is now seizure-free. Our patients differ from those previously reported in that they had a predominance of tonic seizures and had no history of infantile spasms or Lennox-Gastaut syndrome. Some patients, such as ours, with MIED may have clinical seizures of more focal origin than might be expected from their interictal EEG and, therefore, may benefit from resective epilepsy surgery.
AB - We obtained continuous EEG/video recordings on four children who had the interictal EEG pattern of multifocal independent epileptiform discharges (MIED). The prominent feature of their evaluation was the evidence that their clinical seizures appeared to be of focal origin; 42/44 seizures were manifested by “fencing postures.” Three patients subsequently underwent epilepsy surgery: one focal resection of superior frontal-parietal cortex and two hemidecorticectomies. Seizure control improved in all three patients, and one patient is now seizure-free. Our patients differ from those previously reported in that they had a predominance of tonic seizures and had no history of infantile spasms or Lennox-Gastaut syndrome. Some patients, such as ours, with MIED may have clinical seizures of more focal origin than might be expected from their interictal EEG and, therefore, may benefit from resective epilepsy surgery.
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U2 - 10.1212/wnl.41.8.1223
DO - 10.1212/wnl.41.8.1223
M3 - Article
C2 - 1866010
AN - SCOPUS:0025864090
SN - 0028-3878
VL - 41
SP - 1223
EP - 1228
JO - Neurology
JF - Neurology
IS - 8
ER -