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. Author manuscript; available in PMC: 2013 Oct 7.
Published in final edited form as: Brain. 2008 Jul 16;131(Pt 8):2042–2060. doi: 10.1093/brain/awn145

Table 1.

Characteristics of the patients: clinical and electrographic features recorded outside the MRI

Pts Age (year) Epilepsy type Seizure semiology Age of first seizure (year) Scalp EEG recordings outside the scanner Antiepileptic drugs Seizure frequency
1 25 R TLE Rising epigastric aura followed by out-of-breath sensation and loss of consciousness 24 Interictal: RTor RFT spike or polyspike-slow waves
Ictal: none
None Two events in 1 year
2 39 R TOLE Stroboscopic black and white light in the L visual field, or forced eye-deviation to the L with loss of consciousness 12 Interictal: spikes and spike-slow waves over the R posterior quadrant
Ictal: rhythmic burst of spikes over the R T region sometimes spreading over the L side
Carbamazepine 2400 mg, Valproic acid 1000 mg, Clobazam 10 mg 1/month
3 52 TOLE Before surgery visual distortion of objects and lights with language difficulty and now also associated with auditive distorsion 17 Interictal: independent R and L temporal spikes
Ictal: none
Pregabalin 450 mg, Topiramate 300 mg 1/day (at least)
4 23 L TLE Feeling of familiarity, ‘déjá vu’ or ‘deja vecu’ sensation then loss of contact with staring, lip smacking and swallowing movements (lower limbs movements sometimes) 14 Interictal: L T and R T independent irregular sharp waves or spikes
Ictal: not recorded in scalp EEG
Carbamazepine 600 mg, Topiramate 300, Clobazam 20 mg 3–4/day in clusters
5 11 R FLE Sensation of fear followed by a deep breath movement. He could sometimes scream and turns his head to the left 4 Interictal: R F spike-waves isolated or organized in short burst
Ictal: Prolonged bursts of rhythmic bilateral F spike-waves with a clear R predominance
Phenytoin 100 mg, Valproic acid 250 mg 20–30/day
6 33 L CPLE Somesthesic sensation in the R elbow followed by a slow non-tonic R arm elevation ? Interictal: polyspikes or poly-sharp waves over the L CP area.
Ictal: rhythmic fast activity starting over the L CP regions followed by a spreading over the FT areas
Carbamazepine 1200 mg, Topiramate 75 mg, Clobazam 20 mg 1–3/day
7 26 Bil TOLE Chest pressure feeling followed by loss of contact, staring, chewing and sometimes R eyes-deviation 9 Interictal: spike and slow waves complexes over TO electrodes bilateral or predominant over the R side
Ictal: bilateral slow waves followed by rhythmic fast activity seen synchronously over the posterior temporal regions with a predominance over the R side. Irregular generalized slow waves followed
Carbamazepine 1000 mg, Clobazam 40 mg 1/week
8 23 Bil TOLE Start to see things smaller and far away from her, then she becomes blind or sees lights forming faces 13 Interictal: synchronous and rhythmic slow wave discharges with intermixed sharp components over both posterior head regions
Ictal: prolonged electrographic attack, maximal over both posterior temporal regions with clear predominance over the R side
Clobazam 40 mg, Lamotrigine 500 mg, Phenytoin 300 mg 1–2/week
Mean ± SD 29 ±12.3 13,3 ± 6.3

R = right; L = left; Bil = bilateral; T = temporal; O = occipital; C = central; P = parietal.