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Symptomatic Partial Epilepsies with Secondary Bilateral Synchrony: Differentiation from Symptomatic Generalized Epilepsies of the Lennox-Gastaut Type

  • Conference paper
Presurgical Evaluation of Epileptics

Abstract

Secondary bilateral synchrony (SBS) was first de-scribed by Jasper (1951), Jasper et al. (1951), and Tükel and Jasper (1952) as bursts of high-amplitude synchronous slow spike-and-wave complexes which were more or less symmetric over both hemispheres, due to a unilateral epileptogenic lesion of the mesial surface of the frontal or temporal lobe. SBS is thus contrasted with primary bilateral synchrony, which is manifested by more rapid symmetric and bilaterally synchronous spike-and-wave discharges over both hemispheres, due to a generalized epileptogenic process independent of any focal hemispheric lesion. Since then, SBS has been discussed by Gastaut et al. (1968), Niedermeyer (1968, 1972), Gabor and Ajmone-Marsan (1969), Blume and Pillay (1985), Gastaut et al. (1985) and Spencer et al. (1985).

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References

  • Amacher AL (1976) Midline commissurotomy for the treat-ment of some cases of intractable epilepsy. Child’s Brain 2: 54–58

    PubMed  CAS  Google Scholar 

  • Avila JO, Radvany J, Huck FR, Pires de Camargo CH, Marino R Jr, Ragazzo PC, Riva D (1980) Anterior callosotomy as a substitute for hemispherectomy. Acta Neurochir [Suppl] 30: 137–143

    CAS  Google Scholar 

  • Beaumanoir A (1982) The Lennox-Gastaut syndrome: a personal study. In: Broughton R (ed) Henri Gastaut and the Marseille school’s contribution to the neurosciences. Electroencephalogr Clin Neurophysiol [Suppl] 35: 85–99

    Google Scholar 

  • Blume WT (1984) Corpus callosum section for seizure control: rationale and review of experimental and clinical data. Cleve Clin Q 51: 319–332

    PubMed  CAS  Google Scholar 

  • Blume WT, Pillay N (1985). Electrographic and clinical correlates of secondary bilateral synchrony. Epilepsia 26: 636–641

    Article  PubMed  CAS  Google Scholar 

  • Bouvier G, Mercier C, St-Hilaire J-M, Giard N, Labrecque R, Beique RA (1983) Anterior callosotomy and chronic depth electrode recording in the surgical management of some in-tractable seizures. Appl Neurophysiol 46: 308–316

    Google Scholar 

  • Caffl J (1973) Zur Frage klinischer Anfallformen bei psycho-motorischer Epilepsie. Schweiz Med Wochenschr 103: 469–475

    Google Scholar 

  • Chugani HT, Mazziota, JC, Engel J, Phelps ME (1987). The Lennox-Gastaut syndrome: Metabolic subtypes determined by 2-deoxy-2 [18F] fluoro-D-glucose positron emission to-mography. Ann Neurol 21: 4–13

    Article  PubMed  CAS  Google Scholar 

  • Delgado-Escueta A (1979) Epileptogenic paroxysms: modern approaches and clinical correlations. Neurology 29: 1014–1022

    PubMed  CAS  Google Scholar 

  • Dreifuss F et al. (1985). Proposal for classification of epilepsies and epileptic syndromes. Epilepsia 26: 268–278.

    Article  Google Scholar 

  • Gabor A, Ajmone-Marsan C (1969) Co-existence of focal and bilateral diffuse paroxysmal discharges in epileptics. Epilepsia 10: 453–472

    Article  PubMed  CAS  Google Scholar 

  • Gastaut H (1982) “Benign” or “functional” (versus “organic”) epilepsies in different stages of life. In: Broughton R (ed) Henri Gastaut and the Marseille school’s contribution to the neurosciences. Electroencephalogr Clin Neurophysiol [Suppl] 35:17–44

    Google Scholar 

  • Gastaut H, Zifkin BG (1985). Classification of the epilepsies, J. Clin. Neurophysiol. 2: 313–326.

    Article  PubMed  CAS  Google Scholar 

  • Gastaut H, Poirier F, Payan H, Salamon G, Toga M, Vigouroux M (1960) HHE syndrome: hemiconvulsions, hemiplegia, epilepsy. Epilepsia 1: 418–447

    Article  PubMed  CAS  Google Scholar 

  • Gastaut H, Roger J, Soulayrol R, Tassinari CA, Regis H, Dravet C, Bernard R, Pinsard N, Saint-Jean M (1966) Childhood epileptic encephalopathy with diffuse slow spike-waves (otherwise known as ‘petit mal variant’) or Lennox’s syndrome. Epilepsia 7: 139–179

    Article  Google Scholar 

  • Gastaut H, Mouren P, Paillas J (1968) A propos de la “bisynchronie secondaire” en electroencephalographic: paroxysmes bilateraux, synchrones et symetriques revelateurs d’un abces temporal. Rev Neurol 119: 295–298

    PubMed  CAS  Google Scholar 

  • Gastaut H, Pinsard N, Gastaut JL, Regis H, Michel B (1979) Computerized tomography of acute hemiplegia in children. In: Goldstein M, Bolis L, Fieschi C, Gorini S, Millikan CH (eds) Advances in neurology, vol 25. Raven, New York, pp 329–337

    Google Scholar 

  • Gastaut H, Pinsard N, Genton P (1980) Electroclinical correlations of CT scans in secondary generalized epilepsies. In: Canger R, Angeleri F, Penry JK (eds) Advances in epileptology, Xlth epilepsy international symposium. Raven, New York, pp 45–52

    Google Scholar 

  • Gastaut H, Magaudda A, Mariani E (1985) Corrispondenza anatomo-clinica del fenomeno elettroencefalograflco della sincronia bilaterale secondaria. Rivista Ital EEG Neurofis

    Google Scholar 

  • Gates JR, Leppik IE, Yap J, Gumnit RJ (1984) Corpus callo-sotomy: clinical and electroencephalographic effects. Epilepsia 25: 308–316

    Article  PubMed  CAS  Google Scholar 

  • Geoffroy G, Lassonde M, De Lisle F, Decarie M (1983) Corpus callosotomy for control of intractable epilepsy in children. Neurology 33: 891–897

    PubMed  CAS  Google Scholar 

  • Gur RC, Sussman NM, Alavi A, Gur RE, Rosen AD, O’Connor M, Goldberg HI, Greenberg JH, Reivich M (1982) Positron emission tomography in two cases of childhood epileptic encephalopathy ( Lennox-Gastaut syndrome ). Neurology 32: 1191–1194

    PubMed  CAS  Google Scholar 

  • Harbaugh RE, Wilson DH, Reeves AG, Gazzaniga MS (1983) Forebrain commissurotomy for epilepsy. Acta Neurochir 68: 263–275

    Article  CAS  Google Scholar 

  • Huck FR, Radvany J, Avila SD, Pires de Camargo CH, Ragazzo PC, Riva D, Arlant P (1980) Anterior callosotomy in epileptics with multiform seizures and bilateral synchronous spike and wave EEG pattern. Acta Neurochir [Suppl] 30: 127–135

    CAS  Google Scholar 

  • Jasper H (1951) Etude anatomo-physiologique des epilepsies. In: Fischgold H (ed) Compte-rendus du 2eme congres international d’EEG, Paris, 1949. Masson, Paris, pp 99–111

    Google Scholar 

  • Jasper H, Pertuiset B, Flanigin H (1951) EEG and cortical electrograms in patients with temporal lobe seizures. Arch Neurol Psychiatry 65: 272–290

    CAS  Google Scholar 

  • Landolt H (1960) Die Temporallappenepilepsie und ihre Psychopathologie. Karger, Basel

    Google Scholar 

  • Lipinski C (1977) Epilepsies with astatic seizures of late onset. Epilepsia 18: 13–20

    Article  PubMed  CAS  Google Scholar 

  • Niedermeyer E (1968) The occurrence of generalized (cen- trencephalic) and focal seizure patterns in the same patient. Johns Hopkins Med J122: 11–25

    CAS  Google Scholar 

  • Niedermeyer E (1972) The generalized epilepsies. Thomas, Springfield, pp 74–86

    Google Scholar 

  • Pazzaglia P, D’Allessandro E, Ambrosetto G (1980) Le crise epilettiche astatiche. Progressi in epilettologia, Lega Ital contro l’epilepsia, vol 29–30 Milano, pp 179–182

    Google Scholar 

  • Pazzaglia P, D’Alessandro R, Ambrosetto G, Lugaresi E (1985). Drop attacks: an ominous change in the evolution of partial epilepsy Neurology 35: 1725–1730.

    PubMed  CAS  Google Scholar 

  • Rayport M, Ferguson S, Corrie WS (1983) Outcomes and indications of corpus callosum section for intractable seizure control. Appl Neurophysiol 46: 47–51

    PubMed  CAS  Google Scholar 

  • Roberts DW, Allen CD, Allen AH, Reeves AG (1983) Depth electrode recording in patients undergoing corpus callosotomy for intractable epilepsy. Appl Neurophysiol 46: 26–32

    PubMed  CAS  Google Scholar 

  • Spencer SS, Spencer DD, Williamson PD, Mattson RH (1985), Effect of corpus callosum section on secondary bilaterally synchronous interictal EEG discharges. Neurology 35: 1089–1094

    Google Scholar 

  • Tükel K, Jasper H (1952) The electroencephalogram in para-sagittal lesions. Electroencephalogr Clin Neurophysiol 4: 481–494

    Article  PubMed  Google Scholar 

  • Wilson DH, Culver C, Waddington M, Gazzaniga MS (1975) Disconnection of the cerebral hemispheres. Neurology 25: 1149–1153

    PubMed  CAS  Google Scholar 

  • Wilson DH, Reeves AG, Gazzaniga MS, Culver C (1977) Cerebral commissurotomy for control of intractable seizures. Neurology 27: 708–715

    PubMed  CAS  Google Scholar 

  • Wilson DH, Reeves AG, Gazzaniga MS (1978) Division of the corpus callosum for uncontrollable epilepsy. Neurology 28: 649–653

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Institut de Recherches Neurologiques, Faculté de Médecine, WHO Collaborating Centre for Teaching and Research in Neurology, 13385, Marseille, France

    H. Gastaut, A. Maggauda & E. Mariani

  2. New York State Institute for Basic Research in Developmental Disabilities, Staten Island, New York, and Downstate Medical Center, Brooklyn, NY, 11203, USA

    B. Zifkin

Authors
  1. H. Gastaut
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  2. B. Zifkin
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  3. A. Maggauda
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  4. E. Mariani
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Editors and Affiliations

  1. Department of Neurology, University Hospital, Frauenklinikstr. 26, 8091, Zürich, Switzerland

    Heinz Gregor Wieser

  2. Department of Neurology, University Hospital, University of Münster, Albert-Schweitzer-Str. 33, 4400, Münster, Federal Republic of Germany

    Christian E. Elger

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© 1987 Springer-Verlag Berlin Heidelberg

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Gastaut, H., Zifkin, B., Maggauda, A., Mariani, E. (1987). Symptomatic Partial Epilepsies with Secondary Bilateral Synchrony: Differentiation from Symptomatic Generalized Epilepsies of the Lennox-Gastaut Type. In: Wieser, H.G., Elger, C.E. (eds) Presurgical Evaluation of Epileptics. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-71103-9_43

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  • DOI: https://doi.org/10.1007/978-3-642-71103-9_43

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-71105-3

  • Online ISBN: 978-3-642-71103-9

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