Published Date: November 1, 1992

Full Text Article

Facial asymmetry in partial epilepsies

Authors: P Tinuper, G Plazzi, F Provini, A Cerullo, M Leonardi, R Agati, A Righini, P Montagna

Epilepsia. 1992 Nov-Dec;33(6):1097-100. doi: 10.1111/j.1528-1157.1992.tb01765.x.


Fifty-six consecutive epileptic patients with partial seizures (30 temporal, 26 extratemporal) and facial asymmetry were studied. Facial asymmetry was compared with EEG, radiologic, and other clinical findings. Thirty patients had a lesional epilepsy whereas 26 were considered cryptogenic. In lesional epilepsies, 60% of patients had EEG foci ipsilateral to the smaller hemiface and only 20% had EEG foci contralaterally. In the cryptogenic group, the EEG focus was ipsilateral in 50% and contralateral to the facial smallness in 46%. No differences were noted between temporal and extratemporal epilepsies. Early acquired cerebral lesions may modify development of the hemisphere involved, leading to a small ipsilateral hemiface and seizures originating from the same side.

PMID: 1464270DOI: 10.1111/j.1528-1157.1992.tb01765.x