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Table 2 Percentage of lateralization and localization of epileptogenic focus according to different assessment modalities, and percent of concordance with brain imaging

From: Neuropsychological performance in patients with focal drug-resistant epilepsy and different factors that affect their performance

 

Semiology

Video EEG

Brain imaging

Ictal (n = 44)

Interictal (n = 118)

Lateralization

Right

46 (39%)

14 (36.4%)

23 (19.5%)

43 (36.4%)

Left

49 (41.5%)

8 (18.2%)

26 (22%)

45 (38.1%)

Multifocal or bilateral

–

6 (13.6%)

18(15.3%)

4 (3.4%)

Undetermined

23 (19.5%)

16 (36.4%)

51(43.2%)

26 (22%)1

Lateralization

Temporal

68 (57.6%)

15 (34.4%)

47 (39.8%)

53 (44.9%)

Frontal

29 (24.6%)

11 (9.3%)

11 (9.3%)

15 (12.7%)

Parieto-occipital

12 (10.2%)

2 (1.7%)

2 (1.7%)

11 (9.3%)

Insula

3 (2.5%)

–

–

4 (3.4%)

Multifocal or hemispheric

–

5 (9.1%)

7 (5.9%)

7 (5.9%)

others

–

–

–

5 (4.2%)2

Undetermined

6 (5%)

16 (36.4%)

51 (43.2%)

23 (19.5%)3

  1. 123 patients had Normal MRI and 3 patients had hypothalamic hamartoma
  2. 2Patients had thalamic, subependymal lesion and hypothalamic hamartoma
  3. 3Patients had Normal MRI