Clinical Study

Noninvasive Approach to Focal Cortical Dysplasias: Clinical, EEG, and Neuroimaging Features

Table 1

Mean clinical features.

PatientAge (years)Onset sz (years)Personal historySz/monthMRI (FCD)Initial sz semiologyDTI (FA maps)Irritative zone (IIS)

1155No5/monthLeft frontal − medial aspect of superior gyrusTonic elevation of R armNo asymmetries
2324Prolonged labor4/monthLeft frontal − medial aspect of superior gyrusTonic posture of R armModerate-to-severe asymmetriesECDs
3262Febrile seizure5/monthleft parahippocampusAuditory phenomenaNo asymmetries
43010Febril seizure6/monthRight temporal − anterior middle gyrusMnemonic (deja vu) and dyscognitive phenomenaModerate-to-severe asymmetriesECDs
5299No3/monthRight frontal − medial gyrusClonic of L armNo asymmetriesECDs
6274No4/monthRight frontal (transmantle) − superior and middle gyrusHyperkinetic pedal movementsModerate-to-severe asymmetriesECDs
7234No10/monthRight frontal (transmantle) perirolandicClonic of L armModerate-to-severe asymmetriesECDs
8234Febril seizure6/monthLeft frontoparietal (transmantle)Clonic and somatosensory (tingling) phenomena of R armNo asymmetries
9316 monthsPerinatal infection2/monthRight temporo-occipitalMnemonic (deja vu) and dyscognitive phenomenaModerate-to-severe asymmetriesECDs
103316No4/monthRight frontal (transmantle) middle gyrusTonic posture of L armModerate-to-severe asymmetriesECDs
1155 monthsHypoxia15/monthRight frontal anteriorClonic of L armNo asymmetries
12193Hypoxia8/monthLeft parietalTonic posture of R armNo asymmetries
131914No3/monthRight frontal (transmantle) - superior gyrusL oculocephalic versive szModerate-to-severe asymmetriesECDs
14*159 monthsFebril seizureSeizure free**Right parietal + right HSMnemonic (deja vu) and dyscognitive phenomenaModerate-to-severe asymmetriesECDs
154617NoSeizure free**Right frontal − middle gyrusL hemiclonic movementsNo asymmetries
1655No3/monthRight frontal − middle gyrusClonic of L arm with Jacksonian marchNo asymmetries
17*233No14/monthRight frontal anteriorTonic elevation of L armModerate-to- severe asymmetriesECDs
18291Febril seizure4/monthLeft frontal middle gyrusClonic of R arm
191211No3/monthRight frontal middle gyrusTonic posture of L armModerate-to-severe asymmetriesECDs
2092 monthsNo3/monthRight parietal + Left frontal cavernomaL oculocephalic versive szNo asymmetries

R: right, L: left ISS: interictal spikes ECD: equivalent current dipoles FA maps: fractional anisotropy maps.
*Epilepsy surgery treatment.
**Improved seizure control after changes in antiepileptic drugs.