[Significance of head turning in the structure of a seizure in determination of the location of an epileptic focus].
Under study there was a group of 16 patients with seizures the structure of which included sideward adversion of the head or the head and the eyes. Surgical interventions on the cortex of the premotor and motor zones have given no positive effect in these patients. After the operation the seizures did not cease, moreover, they even retained their former structure. Anatomic and clinicophysiological findings have shown that the head adversion as a manifestation of the orientation reflex occurs on irritation of the thalamostrial system, and of the caudate nucleus, in particular. The seizures studied could be identified, as regards their outward manifestation, with the orientation reflex. This gives one grounds to think that it is subcortical structures, and first of all, the caudate nucleus, which are responsible for the paroxysm type described. On this basis a striopallidar form of epilepsy is distinguished.
D000293:Adolescent; D000328:Adult; D002541:Cerebral Decortication; D003342:Corpus Striatum; D004569:Electroencephalography; D004828:Epilepsies, Partial / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D005133:Eye Movements; D005260:Female; D005500:Follow-Up Studies; D005625:Frontal Lobe / Q000601:surgery; D005917:Globus Pallidus; D006257:Head; D006801:Humans; D008297:Male; D008875:Middle Aged; D009068:Movement; D012021:Reflex, Abnormal / Q000150:complications; D013702:Temporal Lobe / Q000601:surgery
Znachenie adversii golovy v strukture pripadka dlia opredeleniia lokalizatsii épilepticheskogo ochaga.