Differenti patterns di attività motoria nelle crisi con semeiologia ipercinetica: Studio clinico-cinematico

Translated title of the contribution: Different patterns of motor activity during hyperkinetic seizures: A clinical and kinematic study

E. Gardella, S. Francione, L. Tassi, G. Cantalupo, C. Cuppini, L. Nobili, R. Mai, M. Cossu, F. Cardinale, N. Fini, G. Rubboli, G. Lo Russo, C. A. Tassinari

Research output: Contribution to journalArticle

Abstract

The aim of this study was to characterize different patterns of motor activity during hyperkinetic (HK) seizures, in 39 patients studied by video-EEG and/or SEEG, preliminary to epilepsy surgery. 221 HK seizures, out of 416 recorded, were selected for a clinical-kinematic study (Videopoint computerized system); a correlation with extra/intracranial EEG was attempted. We observed 5 different HK motor patterns: (1) symmetrical: with bilateral, widespread HK movements; (2) hemilateral: with HK activity more evident on one body side; (3) hemivertical: with HK manifestations prominently involving upper or lower limbs; (4) axial: with HK movements prevailing in the trunk; (5) "puppet like": with fragmentary, rapid diffuse motor manifestations. Kinematic analysis documented strong qualitative analogies among HK motor patterns of subgroups 1-4, with different body segment involved, and substantial qualitative differences with group 5. Subgroups 1-4 showed heterogeneous ictal onset zone, that in group 2 was contralateral to the HK manifestations, whereas group 5 had quite focal frontal ictal onset discharge. In all groups the symptomatogenic zone, during HK manifestations, was an extended fronto-mesial area. We propose a clinical classification of different HK ictal patterns involving analogue widespread motor circuits (pre-encoded?; Tassinari et al., 2004), possibly modulated by different cortical regions.

Translated title of the contributionDifferent patterns of motor activity during hyperkinetic seizures: A clinical and kinematic study
Original languageItalian
Pages (from-to)75-77
Number of pages3
JournalBollettino - Lega Italiana contro l'Epilessia
Issue number125-126
Publication statusPublished - Jul 2004

ASJC Scopus subject areas

  • Clinical Neurology

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    Gardella, E., Francione, S., Tassi, L., Cantalupo, G., Cuppini, C., Nobili, L., Mai, R., Cossu, M., Cardinale, F., Fini, N., Rubboli, G., Lo Russo, G., & Tassinari, C. A. (2004). Differenti patterns di attività motoria nelle crisi con semeiologia ipercinetica: Studio clinico-cinematico. Bollettino - Lega Italiana contro l'Epilessia, (125-126), 75-77.