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Focal impaired awareness automatism seizure

MedGen UID:
1716979
•Concept ID:
C5397914
•
Disease or Syndrome
Synonyms: Focal onset impaired awareness automatism epileptic seizure; Focal onset impaired awareness automatism seizure; Focal-onset impaired awareness automatism epileptic seizure
SNOMED CT: Focal-onset impaired awareness automatism epileptic seizure (1269374009); Focal onset impaired awareness automatism seizure (1269374009); Focal onset impaired awareness automatism epileptic seizure (1269374009); Focal impaired awareness automatism seizure (1269374009)
 
HPO: HP:0032909

Definition

A focal seizure with automatism in which awareness is partially or fully impaired at some point during the seizure. [from HPO]

Conditions with this feature

Occipital pachygyria and polymicrogyria
MedGen UID:
481505
•Concept ID:
C3279875
•
Disease or Syndrome
Occipital cortical malformations (OCCM) is an autosomal recessive condition in which affected individuals develop seizures, sometimes associated with transient visual changes. Brain MRI shows both pachygyria and polymicrogyria restricted to the lateral occipital lobes (summary by Barak et al., 2011).
See: Condition Record
Occipital pachygyria and polymicrogyria

Recent clinical studies

Etiology

Distinction between epileptic and non-epileptic arousal by heart rate change.
Kubota T, Thyagaraj S, Gia Huynh H, Kanubhai Gajera P, Awori V, Zande JL, Lüders HO, Fernandez-Baca Vaca G
Epilepsy Behav 2023 Nov;148:109487. Epub 2023 Oct 27 doi: 10.1016/j.yebeh.2023.109487. PMID: 37897862
Eating-induced seizures: A semiological sign of the right temporal pole.
Tena-Cucala R, Sala-Padró J, Jaraba S, Hernández G, Fernández-Coello A, Rosselló A, Camins À, Naval-Baudin P, Fernández-Viñas M, Rodríguez-Bel L, Reynes G, Falip M
Epileptic Disord 2023 Aug;25(4):480-491. Epub 2023 Jun 12 doi: 10.1002/epd2.20035. PMID: 37309048
Prevalence, clinical characteristics, and seizure outcomes of epilepsy due to calcific clinical stage of neurocysticercosis: Study in a rural community in south India.
Murthy JMK, Seshadri V
Epilepsy Behav 2019 Sep;98(Pt A):168-172. Epub 2019 Jul 31 doi: 10.1016/j.yebeh.2019.07.024. PMID: 31376678
Clinical and electrographic characteristics of seizures in LGI1-antibody encephalitis.
Li LH, Ma CC, Zhang HF, Lian YJ
Epilepsy Behav 2018 Nov;88:277-282. Epub 2018 Oct 15 doi: 10.1016/j.yebeh.2018.08.019. PMID: 30332659
The incidence and significance of periictal apnea in epileptic seizures.
Lacuey N, Zonjy B, Hampson JP, Rani MRS, Zaremba A, Sainju RK, Gehlbach BK, Schuele S, Friedman D, Devinsky O, Nei M, Harper RM, Allen L, Diehl B, Millichap JJ, Bateman L, Granner MA, Dragon DN, Richerson GB, Lhatoo SD
Epilepsia 2018 Mar;59(3):573-582. Epub 2018 Jan 16 doi: 10.1111/epi.14006. PMID: 29336036Free PMC Article

Diagnosis

Distinction between epileptic and non-epileptic arousal by heart rate change.
Kubota T, Thyagaraj S, Gia Huynh H, Kanubhai Gajera P, Awori V, Zande JL, Lüders HO, Fernandez-Baca Vaca G
Epilepsy Behav 2023 Nov;148:109487. Epub 2023 Oct 27 doi: 10.1016/j.yebeh.2023.109487. PMID: 37897862
Clinical and electrographic characteristics of seizures in LGI1-antibody encephalitis.
Li LH, Ma CC, Zhang HF, Lian YJ
Epilepsy Behav 2018 Nov;88:277-282. Epub 2018 Oct 15 doi: 10.1016/j.yebeh.2018.08.019. PMID: 30332659
The incidence and significance of periictal apnea in epileptic seizures.
Lacuey N, Zonjy B, Hampson JP, Rani MRS, Zaremba A, Sainju RK, Gehlbach BK, Schuele S, Friedman D, Devinsky O, Nei M, Harper RM, Allen L, Diehl B, Millichap JJ, Bateman L, Granner MA, Dragon DN, Richerson GB, Lhatoo SD
Epilepsia 2018 Mar;59(3):573-582. Epub 2018 Jan 16 doi: 10.1111/epi.14006. PMID: 29336036Free PMC Article
Seizure semiology of anti-LGI1 antibody encephalitis.
Beimer NJ, Selwa LM
Epileptic Disord 2017 Dec 1;19(4):461-464. doi: 10.1684/epd.2017.0936. PMID: 29171405
Consciousness as a useful concept in epilepsy classification.
Blumenfeld H, Meador KJ
Epilepsia 2014 Aug;55(8):1145-50. Epub 2014 Jun 30 doi: 10.1111/epi.12588. PMID: 24981294Free PMC Article

Therapy

Non-convulsive febrile status epilepticus mimicking a postictal state after a febrile seizure: an ictal electroclinical and evolutive study.
Proietti J, Fiorini E, Meneghello L, Cantalupo G, Fontana E, Lo Barco T, Bernardina BD, Darra F
Epileptic Disord 2022 Apr 1;24(2):387-396. doi: 10.1684/epd.2021.1402. PMID: 35014611
Clinical and electrographic characteristics of seizures in LGI1-antibody encephalitis.
Li LH, Ma CC, Zhang HF, Lian YJ
Epilepsy Behav 2018 Nov;88:277-282. Epub 2018 Oct 15 doi: 10.1016/j.yebeh.2018.08.019. PMID: 30332659
Partial seizures in children: clinical features, medical treatment, and surgical considerations.
Wyllie E, Rothner AD, Lüders H
Pediatr Clin North Am 1989 Apr;36(2):343-64. doi: 10.1016/s0031-3955(16)36653-6. PMID: 2494638

Prognosis

Detection of somatic and germline pathogenic variants in adult cohort of drug-resistant focal epilepsies.
Ferri L, Menghi V, Licchetta L, Dimartino P, Minardi R, Davì C, Di Vito L, Cifaldi E, Zenesini C, Gozzo F, Pelliccia V, Mariani V, de Spelorzi YCC, Gustincich S, Seri M, Tassi L, Pippucci T, Bisulli F
Epilepsy Behav 2024 Apr;153:109716. Epub 2024 Mar 19 doi: 10.1016/j.yebeh.2024.109716. PMID: 38508103
Prevalence, clinical characteristics, and seizure outcomes of epilepsy due to calcific clinical stage of neurocysticercosis: Study in a rural community in south India.
Murthy JMK, Seshadri V
Epilepsy Behav 2019 Sep;98(Pt A):168-172. Epub 2019 Jul 31 doi: 10.1016/j.yebeh.2019.07.024. PMID: 31376678
Clinical and electrographic characteristics of seizures in LGI1-antibody encephalitis.
Li LH, Ma CC, Zhang HF, Lian YJ
Epilepsy Behav 2018 Nov;88:277-282. Epub 2018 Oct 15 doi: 10.1016/j.yebeh.2018.08.019. PMID: 30332659
The incidence and significance of periictal apnea in epileptic seizures.
Lacuey N, Zonjy B, Hampson JP, Rani MRS, Zaremba A, Sainju RK, Gehlbach BK, Schuele S, Friedman D, Devinsky O, Nei M, Harper RM, Allen L, Diehl B, Millichap JJ, Bateman L, Granner MA, Dragon DN, Richerson GB, Lhatoo SD
Epilepsia 2018 Mar;59(3):573-582. Epub 2018 Jan 16 doi: 10.1111/epi.14006. PMID: 29336036Free PMC Article

Clinical prediction guides

Detection of somatic and germline pathogenic variants in adult cohort of drug-resistant focal epilepsies.
Ferri L, Menghi V, Licchetta L, Dimartino P, Minardi R, Davì C, Di Vito L, Cifaldi E, Zenesini C, Gozzo F, Pelliccia V, Mariani V, de Spelorzi YCC, Gustincich S, Seri M, Tassi L, Pippucci T, Bisulli F
Epilepsy Behav 2024 Apr;153:109716. Epub 2024 Mar 19 doi: 10.1016/j.yebeh.2024.109716. PMID: 38508103
Eating-induced seizures: A semiological sign of the right temporal pole.
Tena-Cucala R, Sala-Padró J, Jaraba S, Hernández G, Fernández-Coello A, Rosselló A, Camins À, Naval-Baudin P, Fernández-Viñas M, Rodríguez-Bel L, Reynes G, Falip M
Epileptic Disord 2023 Aug;25(4):480-491. Epub 2023 Jun 12 doi: 10.1002/epd2.20035. PMID: 37309048
Prevalence, clinical characteristics, and seizure outcomes of epilepsy due to calcific clinical stage of neurocysticercosis: Study in a rural community in south India.
Murthy JMK, Seshadri V
Epilepsy Behav 2019 Sep;98(Pt A):168-172. Epub 2019 Jul 31 doi: 10.1016/j.yebeh.2019.07.024. PMID: 31376678
Clinical and electrographic characteristics of seizures in LGI1-antibody encephalitis.
Li LH, Ma CC, Zhang HF, Lian YJ
Epilepsy Behav 2018 Nov;88:277-282. Epub 2018 Oct 15 doi: 10.1016/j.yebeh.2018.08.019. PMID: 30332659
Myoclonic absence seizures with complex gestural automatisms.
Myers KA, Scheffer IE
Eur J Paediatr Neurol 2018 May;22(3):532-535. Epub 2017 Dec 19 doi: 10.1016/j.ejpn.2017.12.003. PMID: 29325826

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