Myoclonic seizures and the frontal lobe
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2023-12-27 17:38
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616.853-079.93 (1)
Neurologie. Neuropatologie. Sistem nervos (971)
SM ISO690:2012
VATAMAN, Anatolie, CIOLAC, Dumitru, CHIOSA, Vitalie, GROPPA, Stanislav. Myoclonic seizures and the frontal lobe. In: 7th Congress of the Society of Neurologists Issue of the Republic of Moldova, Ed. 7, 16-18 septembrie 2021, Chişinău. Chişinău: Revista Curier Medical, 2021, Vol.64, p. 43. ISSN 2537-6381 (Online).
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Dublin Core
7th Congress of the Society of Neurologists Issue of the Republic of Moldova
Vol.64, 2021
Congresul "7th Congress of the Society of Neurologists Issue of the Republic of Moldova"
7, Chişinău, Moldova, 16-18 septembrie 2021

Myoclonic seizures and the frontal lobe

CZU: 616.853-079.93

Pag. 43-43

Vataman Anatolie1, Ciolac Dumitru12, Chiosa Vitalie1, Groppa Stanislav12
 
1 ”Nicolae Testemițanu” State University of Medicine and Pharmacy,
2 Emergency Institute of Medicine
 
 
Disponibil în IBN: 28 septembrie 2021


Rezumat

Background: Recent studies suggest a presumed focal origin of myoclonic seizures. In the current study, we aimed to appreciate the cortical sources of the interictal generalized discharges examining patients with myoclonic seizures using high-density EEG (HD-EEG). Material and methods: In this study, 40 patients (mean age ± standard deviation: 25 ± 7 years; 14 males) with myoclonic seizures were included. All participants were scanned with a 3T MRI machine and 256-channel EEG recording. For spatio-temporal source reconstruction, LORETA (low resolution brain electromagnetic tomography) solution was applied. Results: In all 40 patients, the electric sources of interictal generalized discharges were detected in the frontal lobe. In 17 (42%) patients the origin of discharges was in the middle frontal gyrus (Brodmann Area (BA)-9 in 7 patients, BA-10 in 3 patients, BA-6 in 4 patients and BA-8 in 3 patients). In 13 (33%) patients the origin was identified in the superior frontal gyrus (BA-6 in 9 patients, BA-10 in 3 patients and BA-8 in 1 patient). In 10 (25%) patients the source was localized in the inferior frontal gyrus (BA-11 orbital part in 8 patients and BA-46 in 2 patients). Conclusions: HD-EEG data suggest that myoclonic seizures are not truly generalized seizures in the sense of global activation of the cortex, but rather restricted networks of cortex are involved in the discharges and primarily recruit the frontal lobe networks.

Cuvinte-cheie
myoclonic seizures, frontal lobe, high-density electroencephalography