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

V. A. Chadaev; Чадаев В. А.; K. Yu. Mukhin; Мухин К. Ю.; L. G. Selezneva; Селезнева Л. Г.; S. R. Nurmukhametova; Нурмухаметова С. Р.; A. A. Alikhanov; Алиханов А. А.; O. V. Mendelevich; Менделевич О. В.; I. G. Vasilyev; Васильев И. Г.; L. Yu. Glukhova; Глухова Л. Ю.; M. S. Nikitina; Никитина М. С.; O. A. Pylaeva; Пылаева О. А.

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

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

Authors: Chadaev V.A.¹^,2^,3, Mukhin K.Y.¹^,4, Selezneva L.G.⁵, Nurmukhametova S.R.⁶, Alikhanov A.A.¹^,7, Mendelevich O.V.¹^,7, Vasilyev I.G.⁷, Glukhova L.Y.⁴, Nikitina M.S.⁴, Pylaeva O.A.¹^,4
Affiliations:
1. Svt. Luka’s Institute of Pediatric and Adult Neurology and Epilepsy
2. Russian Pediatric Clinical Hospital, N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia
3. N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia.
4. Svt. Luka’s Institute of Child Neurology and Epilepsy.
5. Svt. Luka’s Institute of Pediatric and Adult Neurology and Epilepsy.
6. Bashkir State Medical University, Ministry of Health of Russia.
7. Russian Pediatric Clinical Hospital, N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia.
Issue: Vol 13, No 4 (2018)
Pages: 64-69
Section: CLINICAL OBSERVATIONS
Published: 21.04.2019
URL: https://rjdn.abvpress.ru/jour/article/view/279
DOI: https://doi.org/10.17650/2073-8803-2018-13-4-64-69
ID: 279

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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.

Keywords

epilepsy, temporal lobe epilepsy, trances, psychical seizures, unplanned travel, magnetic resonance imaging, epilepsy surgery

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

References

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