Facial asymmetry in partial epilepsies.
Fifty-six consecutive epileptic patients with partial seizures (30 temporal, 26 extratemporal) and facial asymmetry were studied. Facial asymmetry was compared with EEG, radiologic, and other clinical findings. Thirty patients had a lesional epilepsy whereas 26 were considered cryptogenic. In lesional epilepsies, 60% of patients had EEG foci ipsilateral to the smaller hemiface and only 20% had EEG foci contralaterally. In the cryptogenic group, the EEG focus was ipsilateral in 50% and contralateral to the facial smallness in 46%. No differences were noted between temporal and extratemporal epilepsies. Early acquired cerebral lesions may modify development of the hemisphere involved, leading to a small ipsilateral hemiface and seizures originating from the same side.
Tinuper
P
P
Neurological Institute, University of Bologna, Italy.
Plazzi
G
G
Provini
F
F
Cerullo
A
A
Leonardi
M
M
Agati
R
R
Righini
A
A
Montagna
P
P
D000328:Adult; D001921:Brain / Q000503:physiopathology; D004569:Electroencephalography; D004828:Epilepsies, Partial / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D005146:Facial Asymmetry / Q000150:complications* / Q000503:physiopathology; D005149:Facial Expression; D005260:Female; D006801:Humans