Consciousness in Epilepsy: objective and subjective components.

CÁMPORA N; PAZ MAYDANA H; KOCHEN S

Estambul

Congreso; 31th International Epilepsy Congress; 2015

Objective: The alteration of consciousness (AOC) during seizures is one of the most striking features in patients with epilepsy and them evaluation remains a challenge to the present. It is important to include in its assessment of both the appreciation of the observer and the subjective evaluation of the patient. We investigated the AOC implementing an objective and subjective assessment during seizures. Methodology: It was included 35 patients (104 seizures) with resistant epilepsy (19 temporal and 16 extratemporal), 50% temporal. Everyone had VideoEEG and IRM. The conciousness seizure scale (CSS) and Ictal Consciousness Inventory (ICI) were applied, and a scale designed by our group, Subjective Evaluation of Consciousness during Seizures (SECS). We asked patients self-reported duration and their memories during seizures before viewing video-EEG. Then we review the video with patients and ask them to check from when they stop to remember the beginning and when they recover the memory at the end of seizures. Results: 62 seizures had profund AOC, 38 moderate and 4 without AOC using CSS. Temporal groups had more seizures with profound AOC than extratemporal (p