JLE

Epileptic Disorders

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Panic attack semiology in right temporal lobe epilepsy Volume 5, numéro 2, June 2003



Figure 1A-D. Continuous EEG recording shows right temporal seizure in patient 1 prior to epilepsy surgery. Electrographic seizure onset near 0:11:01:08 (A). Ictal activity maximum at T4 > F8, Sp2. EKG shows ictal tachycardia with increase in heart rate from 80 to 140 bpm during seizure (B, C) and return to baseline heart rate postictally (D). 

Figure 2. Patient 1 MRI before repeat epilepsy surgery shows a remote right anterolateral temporal tumor resection cavity with preservation of mesial temporal structures.

Figure 3. Patient 1 MRI after epilepsy surgery shows a right anterior temporal resection cavity with excision of amygdala/uncus, hippocampus and parahippocampal gyrus.



Figure 4. A-C. Continuous EEG recording shows right temporal seizure in patient 1 with recurrence of seizures five years post epilepsy surgery. Right temporal seizure onset near 1:16:35:00 (A). Seizure spread to left temporal region at 1:16:35:30 associated with ictal bradycardia (B) with return of heart rate to baseline after seizure offset (C). 

Figure 5. Example of interictal EEG recording in patient 5 (asymptomatic at the time) shows continuous right anterior temporal sharp wave activity (F8, F10, Zg2 > T4, T10; Cz monopolar referential montage).