Neurology Volume 72(11) March 17, 2009 by AAN Copyright © 2009 by AAN Enterprises, Inc.

By AAN Copyright © 2009 by AAN Enterprises, Inc.

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The seizures make it impossible to conclude about the effect of reinstating medication. The number of patients is too small to enable statistical comparison between temporal and extratemporal cases or between different antiepileptic drugs. However, an increase in HFOs after medication withdrawal was seen in both temporal and extratemporal patients, medicated with different antiepileptic drugs. DISCUSSION This study offers new insight into the pathophysiology of HFOs in epilepsy. In contrast to spikes, HFOs did not increase after seizures, whereas they clearly increased after medication reduction.

The paired t tests described above were repeated for delta power. Relative rates of isolated HFOs were correlated to relative rates of spikes (relative to maximum per patient) to study the direct relationship between HFO and spike rates. Last, correlation analysis was performed for consecutively scored epochs (epochs were originally shuffled so this order is random with respect to recorded time) to evaluate the trend in marking events by a reviewer over time. Twelve patients (one woman) with five to eight nights were selected.

2. Audenaert D, Van Broeckhoven C, De Jonghe P. Genes and loci involved in febrile seizures and related epilepsy syndromes. Hum Mutat 2006;27:391–401. 3. Nakayama J, Arinami T. Molecular genetics of febrile seizures. Epilepsy Res 2006;70 (suppl 1):S190–S198. 4. Mulley JC, Scheffer IE, Petrou S, Dibbens LM, Berkovic SF, Harkin LA. SCN1A mutations and epilepsy. Hum Mutat 2005;25:535–542. 5. Hemminki K, Bermejo JL. Constraints for genetic association studies imposed by attributable fraction and familial risk.

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