title: Evaluation of Ictal Consciousness in Temporal and Extra Temporal Epilepsy: Observations from a Tertiary Care Hospital in India.
abstract: OBJECTIVE
  Differences in consciousness during seizures depend on the location of the seizure onset.
  
  
  METHODS
  The present study evaluates ictal consciousness using the ictal consciousness inventory (ICI) in drug refractory mesial temporal (MTLE), neocortical temporal (NTLE) and extra temporal epilepsy (ETLE). This was a cross sectional cohort study with 45 patients with mesial temporal epilepsy, 47 with extra temporal and 11 patients with neocortical temporal epilepsy. The ICI a 20 item questionnaire was used to calculate the scores for level (L, question 1-10) and content (C, question 11-20) of consciousness.
  
  
  RESULTS
  The patients in mesial temporal group had higher ICI-L scores,p= 0.0129 as compared to the extra temporal group, but no difference was observed in the content of consciousness. The ICI-L and C scores were not different in the mesial temporal and the neocortical temporal group (p= 0.53 and 0.65) respectively.
  
  
  CONCLUSIONS
  Patients with mesial temporal epilepsy had a higher level of consciousness than the extra temporal group but there was no difference in the content. Also there was no difference in the level and content of consciousness between mesial and the neocortical temporal group.
authors.affiliation: Department of Neurology, All India Institute of Medical sciences, New Delhi, India.
authors.forename: Rima M
authors.initials: RM
authors.lastname: Chaudhari
authors.affiliation: Department of Neurology, All India Institute of Medical sciences, New Delhi, India.
authors.forename: Deepa
authors.initials: D
authors.lastname: Dash
authors.affiliation: Department of Neurology, All India Institute of Medical sciences, New Delhi, India.
authors.forename: Bhargavi
authors.initials: B
authors.lastname: Ramanujam
authors.affiliation: Department of Neurology, All India Institute of Medical sciences, New Delhi, India.
authors.forename: Manit K
authors.initials: MK
authors.lastname: Rana
authors.affiliation: Department of Neurology, All India Institute of Medical sciences, New Delhi, India.
authors.forename: Renjith
authors.initials: R
authors.lastname: Appukuttan
authors.affiliation: Department of Neurology, All India Institute of Medical sciences, New Delhi, India.
authors.forename: Anubha
authors.initials: A
authors.lastname: Sharma
authors.affiliation: Department of Neurology, All India Institute of Medical sciences, New Delhi, India.
authors.forename: Yuvraj
authors.initials: Y
authors.lastname: Kunwar
authors.affiliation: Department of Neurology, All India Institute of Medical sciences, New Delhi, India.
authors.forename: Gaurav
authors.initials: G
authors.lastname: Tejaniya
authors.affiliation: Department of Neurology, All India Institute of Medical sciences, New Delhi, India.
authors.forename: Vasantha
authors.initials: V
authors.lastname: Padma
authors.affiliation: Department of Neurosurgery, All India Institute of Medical sciences, New Delhi, India.
authors.forename: Sarat P
authors.initials: SP
authors.lastname: Chandra
authors.affiliation: Department of Neurology, All India Institute of Medical sciences, New Delhi, India.
authors.forename: Manjari
authors.initials: M
authors.lastname: Tripathi
keywords: Consciousness; Epilepsy; Extra temporal; Inventory; Temporal