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To examine postictal behaviors after temporal lobe complex partial seizures(CPSs)and to correlate these behavioral phenomena with side of origin and ictal spread pattern.Following the CPS ictal discharge,the mean interval for initial nonreflexive response to an environmental stimulus was 43 seconds(left foci,57 seconds;right foci,29 seconds;not significant) and for first correct verbal response was 219 seconds(left foci,275 seconds;right foci,167 seconds;not significant).Impaired comprehension with fluent but unintelligible speech as well as anomia,occurred after seizures arising from either temporal lobe.All nine seizures followed by global or nonfluent aphasia originated on the left side.Paraphasic errors were significantly more common after left temporal CPSs.Prolonged disorientation for place and flat affect were significantly more common after night temporal CPS.Postictal automatisms were frequent and included rubbing of the face,fumbling and picking hand movements,and repetitive oral movements.Postictal paraphasias,disorientation for place,and flat affect most likely reflect the functions of the area from which seizures arise but not the areas involved by spread. |
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affect,flat
aphasia
automatism,postictal
behavior
brachial plexus neuropathy,children
comprehension,impaired
confusion
disorientation
electroencephalogram
electroencephalogram,abnormalities of
electroencephalogram,depth electrode
language disorder in adults
paraphasias
personality change
postictal neurologic deficits
seizure
seizure,focus
seizure,psychomotor-temporal lobe
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