Hyperkinetic motor seizures: a common semiology generated by two different cortical seizure origins |
| |
| Authors: | Lisa Vaugier Aileen McGonigal Stanislas Lagarde Agnes Trébuchon William Szurhaj Philippe Derambure Fabrice Bartolomei |
| |
| Institution: | 1. APHM, H?pital de la Timone, Service de neurophysiologie clinique, Marseille;2. Aix‐Marseille Univ, Marseille;3. Université de Lille II, Lille, Nord‐Pas‐de‐Calais, France |
| |
| 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. |
| |
| Keywords: | focal epilepsy hyperkinetic / hypermotor semiology central pattern generator |
|
|
