Frontal lobe epilepsy. 2011

Pedro Beleza, and João Pinho
Epilepsy Group, Department of Neurology, Braga Hospital, Largo Carlos Amarante, Apartado 2242, Braga 4701-965, Portugal. beleza.76@gmail.com

About one-quarter of patients with refractory focal epilepsies have frontal lobe epilepsy (FLE). The typical seizure semiology for FLE includes unilateral clonic, tonic asymmetric or hypermotor seizures. Interictal electroencephalograms (EEG) usually reveal interictal epileptiform discharges and rhythmical midline theta, which has localizing value. The usefulness of ictal EEG recordings is limited by frequent muscle artifacts in motor seizures and because a large portion of the frontal lobe cortex is "hidden" to scalp electrodes. Ictal single photon emission CT and positron emission tomography are able to localize FLE in about one-third of patients only. A pre-surgical evaluation should include, whenever possible, a subclassification of FLE as dorsolateral frontal, mesial frontal or basal frontal lobe epilepsy to allow a minimal cortical resection. A review of the typical findings of seizure semiology, interictal and ictal EEG regarding the different FLE subtypes is given. Etiology, medical treatment and surgery are also discussed.

UI MeSH Term Description Entries
D004569 Electroencephalography Recording of electric currents developed in the brain by means of electrodes applied to the scalp, to the surface of the brain, or placed within the substance of the brain. EEG,Electroencephalogram,Electroencephalograms
D005625 Frontal Lobe The part of the cerebral hemisphere anterior to the central sulcus, and anterior and superior to the lateral sulcus. Brodmann Area 8,Brodmann's Area 8,Frontal Cortex,Frontal Eye Fields,Lobus Frontalis,Supplementary Eye Field,Area 8, Brodmann,Area 8, Brodmann's,Brodmanns Area 8,Cortex, Frontal,Eye Field, Frontal,Eye Field, Supplementary,Eye Fields, Frontal,Frontal Cortices,Frontal Eye Field,Frontal Lobes,Lobe, Frontal,Supplementary Eye Fields
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D017034 Epilepsy, Frontal Lobe A localization-related (focal) form of epilepsy characterized by seizures which arise in the FRONTAL LOBE. Frontal Epilepsy, Benign, Childhood,Frontal Lobe Epilepsy,Benign Frontal Childhood Epilepsy,Childhood Benign Frontal Epilepsy,Epilepsy, Anterior Fronto-Polar,Epilepsy, Benign Frontal, Childhood,Epilepsy, Cingulate,Epilepsy, Opercular,Epilepsy, Orbito-Frontal,Epilepsy, Supplementary Motor,Anterior Fronto-Polar Epilepsies,Anterior Fronto-Polar Epilepsy,Cingulate Epilepsies,Cingulate Epilepsy,Epilepsies, Anterior Fronto-Polar,Epilepsies, Cingulate,Epilepsies, Orbito-Frontal,Epilepsies, Supplementary Motor,Epilepsy, Anterior Fronto Polar,Epilepsy, Orbito Frontal,Frontal Lobe Epilepsies,Opercular Epilepsies,Opercular Epilepsy,Orbito-Frontal Epilepsies,Orbito-Frontal Epilepsy,Supplementary Motor Epilepsies,Supplementary Motor Epilepsy

Related Publications

Pedro Beleza, and João Pinho
January 1965, Psychiatria et neurologia,
Pedro Beleza, and João Pinho
December 2004, Epileptic disorders : international epilepsy journal with videotape,
Pedro Beleza, and João Pinho
January 2000, Advances in neurology,
Pedro Beleza, and João Pinho
January 2002, Ryoikibetsu shokogun shirizu,
Pedro Beleza, and João Pinho
September 2022, Epilepsy & behavior : E&B,
Pedro Beleza, and João Pinho
February 2014, Current neurology and neuroscience reports,
Pedro Beleza, and João Pinho
October 2012, Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society,
Pedro Beleza, and João Pinho
October 2012, Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society,
Pedro Beleza, and João Pinho
January 2006, Epilepsia,
Pedro Beleza, and João Pinho
June 1998, Revista de neurologia,
Copied contents to your clipboard!