Hyperkinetic motor seizures: a common semiology generated by two different cortical seizure origins. Issue 3 (31st October 2017)

• Record Type: Journal Article
• Authors: Vaugier, Lisa; McGonigal, Aileen; Lagarde, Stanislas; Trébuchon, Agnes; Szurhaj, William; Derambure, Philippe; Bartolomei, Fabrice
• Is Part Of: Epileptic disorders. Volume 19:Issue 3(2017)
• Page Start: 362
• Page End: 366
• Publication Date: 2017-10-31
• Subjects: focal epilepsy -- hyperkinetic / hypermotor semiology -- central pattern generator; Epilepsy -- Periodicals; 616.853
• DOI: 10.1684/epd.2017.0932
• Languages: English
• ISSNs: 1294-9361

Abstract

Abstract: We report a 37‐year‐old, right‐handed patient with drug‐resistant focal epilepsy whose seizures were characterized by explosive hyperkinetic behaviour. Video‐SEEG revealed bifocal organization of epilepsy with two distinct cortical origins of seizures: the right temporal pole and left temporal lateral and perisylvian cortex. Irrespective of the cortical pattern of seizure onset, the hyperkinetic semiology was extremely similar. This supports a major role for "final common pathway" subcortical circuits in the genesis of the hyperkinetic semiology in this patient.