Your browser doesn't support javascript.
loading
What does epileptic nystagmus show us in cases presenting acute neurological symptoms?
Aykac, Seyma Ciftci; Ekinci, Aysen Suzen; Tabakoglu, Aycin Yildiz; Gulluoglu, Halil; Aydogdu, Ibrahim; Bademkiran, Fikret; Uludag, Burhanettin; Arac, Nilgün; Guler, Ayse.
Afiliación
  • Aykac SC; Neurology Department, Ege University Faculty Of Medicine, Izmir, Turkey.
  • Ekinci AS; Neurology Department, Katip Celebi University, Ataturk Training and Research Hospital, Izmir, Turkey.
  • Tabakoglu AY; Department of Neurology and Neurophysiology, University Of Health Sciences Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey.
  • Gulluoglu H; Neurology Department, Economy University, Medicalpark Hospital, Izmir, Turkey.
  • Aydogdu I; Neurology Department, Ege University Faculty Of Medicine, Izmir, Turkey.
  • Bademkiran F; Neurology Department, Ege University Faculty Of Medicine, Izmir, Turkey.
  • Uludag B; Neurology Department, Ege University Faculty Of Medicine, Izmir, Turkey.
  • Arac N; Neurology Department, Ege University Faculty Of Medicine, Izmir, Turkey.
  • Guler A; Neurology Department, Ege University Faculty Of Medicine, Izmir, Turkey. Electronic address: ayse.guler@ege.edu.tr.
Seizure ; 101: 184-189, 2022 Oct.
Article en En | MEDLINE | ID: mdl-36058101
PURPOSE: This study aims to determine the clinical significance of epileptic nystagmus in patients with acute neurological symptoms. METHOD: The clinical findings of patients with documented epileptic nystagmus, their original video and EEG data, and cranial imaging and laboratory tests were analyzed retrospectively. RESULTS: 20 patients were included in the study and 21 epileptic nystagmus attacks were determined from patients' clinical and video-EEG recordings. All recorded seizures with epileptic nystagmus were focal onset in nature. The ictal discharge pattern was rhythmic fast activity with a mean frequency of 15 Hz. The ictal discharges originated from the parieto-occipital (n = 8), temporo-occipital (n = 7), parieto-occipito-temporal (n = 3), temporal (n = 2), occipital (n = 1), and centroparietal (n = 1) areas. In the fast phase, the nystagmus was beating away from the side of ictal discharges. The origin of the ictal discharges on EEG images was compatible with the lesion localization at cranial MRI in all patients. Etiologies were epilepsy in seven patients, non-ketotic hyperglycemia in four, ketotic hyperglycemia in one, PRES in three, acute stroke in three, HSV encephalitis in one, and MELAS in one. CONCLUSIONS: Epileptic nystagmus represents a guide to the lateralization and localization of the lesion in cases presenting with acute neurological symptoms. In these patients, the lesion is frequently in the posterior regions of the hemispheres. Although various diseases affect these regions in terms of etiology, such cases should be evaluated in terms of the presence of hyperglycemia.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Nistagmo Patológico / Epilepsia / Hiperglucemia Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Seizure Asunto de la revista: NEUROLOGIA Año: 2022 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Nistagmo Patológico / Epilepsia / Hiperglucemia Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Seizure Asunto de la revista: NEUROLOGIA Año: 2022 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Reino Unido