Original articleFocal features in West syndrome indicating candidacy for surgery
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Resective epilepsy surgery for West syndrome: The Hypsarrhythmic Asymmetric Scoring Scheme is a determining predictor of seizure outcome
2022, SeizureCitation Excerpt :Finally, the infant or juvenile brain may respond to various types of insults with widespread bilateral epileptiform discharges, similar to hypsarrhythmia [19], and the spatial resolution of scalp EEG is rarely sufficient to determine the exact location for cortical resection. From the EEG perspective, it has been reported that the presence of focality in hypsarrhythmia may be associated with structural lesions [20–23]. Other studies [24] have demonstrated that several interictal EEG parameters, such as paroxysmal fast activities and rhythmic sharp/spike wave discharges, may contribute to the identification of epileptogenic lesions.
Focal signs in infantile spasms
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2020, Epilepsy ResearchEvolution of Surgical Management for Intractable Epileptic Spasms
2020, Seminars in Pediatric NeurologyGeneralized epilepsies
2019, Handbook of Clinical NeurologyCitation Excerpt :After a series, the child is usually exhausted. Asymmetrical spasms are often associated with a lateralized brain lesion (Kramer et al., 1997), although unilateral lesions may cause symmetrical spasms. Lateralized motor phenomena, including lateral or upward eye deviation and eyebrow contraction, and abduction of one shoulder, may sometimes constitute the entire series of spasms or initiate a series that will eventually develop into bilateral phenomena.