Epileptic trances – focal motor epileptic seizures: past, present and a little bit of future

Author:

Chadaev V. A.1,Mukhin K. Yu.2,Selezneva L. G.3,Nurmukhametova S. R.4,Alikhanov A. A.5,Mendelevich O. V.5,Vasilyev I. G.6,Glukhova L. Yu.7,Nikitina M. S.7,Pylaeva O. A.2

Affiliation:

1. Svt. Luka’s Institute of Pediatric and Adult Neurology and Epilepsy; Russian Pediatric Clinical Hospital, N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia; N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia.

2. Svt. Luka’s Institute of Pediatric and Adult Neurology and Epilepsy; Svt. Luka’s Institute of Child Neurology and Epilepsy.

3. Svt. Luka’s Institute of Pediatric and Adult Neurology and Epilepsy.

4. Bashkir State Medical University, Ministry of Health of Russia.

5. Svt. Luka’s Institute of Pediatric and Adult Neurology and Epilepsy; Russian Pediatric Clinical Hospital, N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia.

6. Russian Pediatric Clinical Hospital, N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia.

7. Svt. Luka’s Institute of Child Neurology and Epilepsy.

Abstract

This article provides a detailed description of clinical and electroanatomical characteristics of epilepsy in patients suffering from epileptic trances – a rare type of focal motor seizures with ambulatory automatism manifesting as an unplanned travel. We reviewed the currently available data on the nature of psychical seizures in patients with epilepsy and the role of social and legal expertise for this disease. We developed the criteria for differential diagnosis between epileptic trances and other conditions with similar manifestations (for example, epileptic fugues) and identified a diagnostic minimum. We also proposed a hypothesis of ictal spatial migration. We emphasized the efficiency of surgical treatment in the case of compliance with a proper diagnostic algorithm.

Publisher

Publishing House ABV Press

Subject

Neurology (clinical),Pediatrics, Perinatology and Child Health

Reference17 articles.

1. Littre E. Hippocratic Corpus. Vol. VI. P. 352. (In Russ.).

2. Mukhin K.Yu., Gataullina S.Kh., Petrukhin A.S. Paleocortical temporal lobe epilepsy. Russkiy zhurnal detskoy nevrologii = Russian Journal of Child Neurology 2008;3(5):41—4. (In Russ.).

3. Mukhin K.Yu. New draft of epileptic seizure classification according to the report of the International League Against Epilepsy on classification and terminology (J. Engel, 2001). Russkiy zhurnal detskoy nevrologii = Russian Journal of Child Neurology 2017;12(8): 8-19. (In Russ.).

4. Mukhin K.Yu., Mironov M.B., Petrukhin A.S. Epileptic syndromes. Diagnosis and therapy. Moscow: “Sistemnye resheniya” Publishing, 2014. P. 140. (In Russ.).

5. Beaumanoir A., Roger J. Historical notes: from psychomotor to limbic seizures. In: Limbic Seizures in Children. Milan: John Libbey, 2001. Pp. 1-6.

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