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

https://doi.org/10.17650/2073-8803-2018-13-4-64-69

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.
Russian Federation
9 Akad. Anokhina St., Moscow 119571; 117 Leninskiy prospekt, Moscow 119571; 1 Ostrovityanova St., Moscow 117997.


K. Yu. Mukhin
Svt. Luka’s Institute of Pediatric and Adult Neurology and Epilepsy; Svt. Luka’s Institute of Child Neurology and Epilepsy.
Russian Federation
9 Akad. Anokhina St., Moscow 119571;  5 Nagornaya St., Troitsk, Moscow 108840.


L. G. Selezneva
Svt. Luka’s Institute of Pediatric and Adult Neurology and Epilepsy.
Russian Federation
9 Akad. Anokhina St., Moscow 119571.


S. R. Nurmukhametova
Bashkir State Medical University, Ministry of Health of Russia.
Russian Federation
3 Lenina St., Ufa 450071, Republic of Bashkortostan.


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


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


I. G. Vasilyev
Russian Pediatric Clinical Hospital, N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia.
Russian Federation
117 Leninskiy prospekt, Moscow 119571.


L. Yu. Glukhova
Svt. Luka’s Institute of Child Neurology and Epilepsy.
Russian Federation
5 Nagornaya St., Troitsk, Moscow 108840.


M. S. Nikitina
Svt. Luka’s Institute of Child Neurology and Epilepsy.
Russian Federation
5 Nagornaya St., Troitsk, Moscow 108840.


O. A. Pylaeva
Svt. Luka’s Institute of Pediatric and Adult Neurology and Epilepsy; Svt. Luka’s Institute of Child Neurology and Epilepsy.
Russian Federation
9 Akad. Anokhina St., Moscow 119571;  5 Nagornaya St., Troitsk, Moscow 108840.


References

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Review

For citations:


Chadaev V.A., Mukhin K.Yu., Selezneva L.G., Nurmukhametova S.R., Alikhanov A.A., Mendelevich O.V., Vasilyev I.G., Glukhova L.Yu., Nikitina M.S., Pylaeva O.A. Epileptic trances – focal motor epileptic seizures: past, present and a little bit of future. Russian Journal of Child Neurology. 2018;13(4):64-69. (In Russ.) https://doi.org/10.17650/2073-8803-2018-13-4-64-69

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ISSN 2073-8803 (Print)
ISSN 2412-9178 (Online)