Andrade-Machado R, Goicoechea-Astencio A, Santos-Santos A, Diéguez-Ramos A, Andrés-Solartes MR, Toledo-Sotomayor G, Pérez-Montoto A, Jiménez-Jaramillo M, Morales-Chacón L, Cristóbal-Cossio J, Sosa-Dubón MA

Idioma: Español
Referencias bibliográficas: 76
Paginas: 187-204
Archivo PDF: 243.72 Kb.

RESUMEN

Introducción: La clasificación actualmente aceptada por la Liga Internacional Contra la Epilepsia no es una clasificación semiológica de las crisis epilépticas. Objetivo: Determinar si es posible obtener una clasificación semiológica de las crisis epilépticas a partir del interrogatorio y con ello estimar la localización y lateralidad de la zona epileptógena. Métodos: Se realizó un estudio multicéntrico descriptivo transversal a doble ciego a 189 pacientes remitidos a evaluación prequirúrgica en el periodo de los años de 2007 al 2011. Se les realizó una entrevista estructurada y video-telemetría. Resultados: Las auras, convulsiones focales, disfasia, psicosis ictal, confusión postictal, versión de la cabeza, cefalea hemicraneana y amnesia preictal permitieron diferenciar el origen de las crisis. El orden temporal en que aparecen las auras temporales típicas, las crisis focales frontales, seguidas de hemiconvulsión focal o generalizada, o con automatismos en miembros inferiores sin automatismos oroalimentarios, asociados a confusión, depresión y la existencia de un período de latencia permiten diferenciar claramente las zonas epileptógenas. Conclusión: Los síntomas perictales evaluados por video- EEG pueden ser obtenidos por la entrevista clínica, los que asociados a los síntomas interictales y analizados en estricto orden temporal permiten estimar la localización y lateralidad de la zona epileptógena.

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