Epileptic trances – focal motor epileptic seizures: past, present and a little bit of future

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Abstract

This article provides a detailed description of clinical and electroanatomical characteristics of epilepsy in patients suffering from epileptic trances – a rare type of focal motor seizures with ambulatory automatism manifesting as an unplanned travel. We reviewed the currently available data on the nature of psychical seizures in patients with epilepsy and the role of social and legal expertise for this disease. We developed the criteria for differential diagnosis between epileptic trances and other conditions with similar manifestations (for example, epileptic fugues) and identified a diagnostic minimum. We also proposed a hypothesis of ictal spatial migration. We emphasized the efficiency of surgical treatment in the case of compliance with a proper diagnostic algorithm.

About the authors

V. A. Chadaev

Svt. Luka’s Institute of Pediatric and Adult Neurology and Epilepsy; Russian Pediatric Clinical Hospital, N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia; N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia.

Author for correspondence.
Email: episur@mail.ru
9 Akad. Anokhina St., Moscow 119571; 117 Leninskiy prospekt, Moscow 119571; 1 Ostrovityanova St., Moscow 117997. Russian Federation

K. Yu. Mukhin

Svt. Luka’s Institute of Pediatric and Adult Neurology and Epilepsy; Svt. Luka’s Institute of Child Neurology and Epilepsy.

9 Akad. Anokhina St., Moscow 119571;  5 Nagornaya St., Troitsk, Moscow 108840. Russian Federation

L. G. Selezneva

Svt. Luka’s Institute of Pediatric and Adult Neurology and Epilepsy.

9 Akad. Anokhina St., Moscow 119571. Russian Federation

S. R. Nurmukhametova

Bashkir State Medical University, Ministry of Health of Russia.

3 Lenina St., Ufa 450071, Republic of Bashkortostan. Russian Federation

A. A. Alikhanov

Svt. Luka’s Institute of Pediatric and Adult Neurology and Epilepsy; Russian Pediatric Clinical Hospital, N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia.

9 Akad. Anokhina St., Moscow 119571; 117 Leninskiy prospekt, Moscow 119571. Russian Federation

O. V. Mendelevich

Svt. Luka’s Institute of Pediatric and Adult Neurology and Epilepsy; Russian Pediatric Clinical Hospital, N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia.

9 Akad. Anokhina St., Moscow 119571; 117 Leninskiy prospekt, Moscow 119571. Russian Federation

I. G. Vasilyev

Russian Pediatric Clinical Hospital, N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia.

117 Leninskiy prospekt, Moscow 119571. Russian Federation

L. Yu. Glukhova

Svt. Luka’s Institute of Child Neurology and Epilepsy.

5 Nagornaya St., Troitsk, Moscow 108840. Russian Federation

M. S. Nikitina

Svt. Luka’s Institute of Child Neurology and Epilepsy.

5 Nagornaya St., Troitsk, Moscow 108840. Russian Federation

O. A. Pylaeva

Svt. Luka’s Institute of Pediatric and Adult Neurology and Epilepsy; Svt. Luka’s Institute of Child Neurology and Epilepsy.

9 Akad. Anokhina St., Moscow 119571;  5 Nagornaya St., Troitsk, Moscow 108840. Russian Federation

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