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Cited by 25Epilepsy research and treatmentThermal Regulation in MedicineNeurology and Historical Studies

Autonomic phenomena of temperature regulation in temporal lobe epilepsy

Stefan, Hermann, Feichtinger, Michael, Black, Andrew·2003·Epilepsy & Behavior
DOI 10.1016/s1525-5050(02)00644-3
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Abstract

Cold shiver and piloerection are rare ictal signs in focal epilepsies. They are often associated with an epileptic seizure focus within the temporal lobe. In rare cases the phenomenon of piloerection has been reported to be confined to body parts ipsilateral to the seizure focus. In this multicentric study epilepsy patients with ictal cold shiver and/or piloerection were retrospectively asked to describe exactly location and spreading patterns of these signs as well as their temporal sequence in relation to other ictal signs. Clinical data, etiology of epilepsy, and seizure focus location were also assessed. In our patient group there was a high relationship to an epileptic focus within the left temporal lobe. Distinct spreading patterns or unilateral piloerection was not indicative of a focus in the ipsilateral temporal lobe as described previously. Our results suggest that phenomena of temperature dysregulation during epileptic seizures may be of value in the presurgical evaluation as they may be indicative of a left temporal lobe seizure focus.

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  • The causes, effects, and interactions of thermoregulation in the context of epilepsy are not well understood.

    “While thermoregulation in the context of epilepsy has been a topic of some research in the past61,62, its causes, effects, and interactions are not well understood.”

    From Data quality evaluation in wearable monitoring (2022) · cites this paper as [62]

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Authors
Stefan, H., Feichtinger, M., & Black, A.
Affiliations
  • Friedrich-Alexander-Universität Erlangen-Nürnberg (DE)
  • University of Graz (AT)
  • The University of Adelaide (AU)
Corresponding author
Stefan, Hermann
ORCID
Venue
Epilepsy & Behavior
Publisher
Elsevier BV
Published
2003-02
Volume
4
Issue
1
Pages
65-69
ISSN
1525-5050 (ISSN-L)
DOI
10.1016/s1525-5050(02)00644-3
OpenAlex
W2046121913
Cited by
25
References
20
Citations by year
2026: 1 · 2025: 1 · 2022: 3 · 2019: 1 · 2018: 1 · 2017: 1 · 2012: 3
FWCI
1.43
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Epilepsy & Behavior (publishedVersion)
  • PubMed (publishedVersion)
  • Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Epilepsy research and treatment
  • Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Thermal Regulation in Medicine
  • Life Sciences › Neuroscience › Neurology › Neurology and Historical Studies
Keywords
temporal lobe epilepsy, piloerection, temperature regulation, seizure localization, preoperative assessment, left temporal lobe
MeSH terms
Adult, Aged, Autonomic Nervous System, Body Temperature Regulation, Electroencephalography, Epilepsy, Temporal Lobe, Female, Humans, Functional Laterality, Male, Middle Aged, Piloerection, Surveys and Questionnaires, Retrospective Studies

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