Prolonged focal negative motor seizures: A video-EEG study

Flavio Villani, Domenico D'Amico, Alessandro Pincherle, Vincenzo Tullo, Luisa Chiapparini, Gennaro Bussone

Research output: Contribution to journalArticle

Abstract

Purpose: Focal negative motor (akinetic) seizures are rare ictal events that are diagnostically challenging because they are difficult to differentiate from postictal Todd paresis, transient ischemic attacks, migraine events, and psychogenic episodes. Methods: We describe a 45-year-old man in whom, after surgical drainage of a right frontoparietal subdural hematoma, prolonged episodes developed with flaccid paralysis of the left arm. Results: A video-EEG recording demonstrated a close relation between the focal motor impairment and a clear-cut epileptic ictal discharge involving the right perirolandic cortical areas. Conclusions: On the basis of the electroclinical data, we hypothesize the involvement of the primary motor area in the genesis of the epileptic discharge triggering focal negative seizures.

Original languageEnglish
Pages (from-to)1949-1952
Number of pages4
JournalEpilepsia
Volume47
Issue number11
DOIs
Publication statusPublished - Nov 2006

Fingerprint

Electroencephalography
Seizures
Stroke
Video Recording
Subdural Hematoma
Transient Ischemic Attack
Motor Cortex
Paresis
Migraine Disorders
Paralysis
Drainage

Keywords

  • Focal epilepsy
  • Ictal paralysis
  • Negative seizures
  • Prolonged seizures
  • Todd paresis

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

Cite this

Prolonged focal negative motor seizures : A video-EEG study. / Villani, Flavio; D'Amico, Domenico; Pincherle, Alessandro; Tullo, Vincenzo; Chiapparini, Luisa; Bussone, Gennaro.

In: Epilepsia, Vol. 47, No. 11, 11.2006, p. 1949-1952.

Research output: Contribution to journalArticle

Villani, Flavio ; D'Amico, Domenico ; Pincherle, Alessandro ; Tullo, Vincenzo ; Chiapparini, Luisa ; Bussone, Gennaro. / Prolonged focal negative motor seizures : A video-EEG study. In: Epilepsia. 2006 ; Vol. 47, No. 11. pp. 1949-1952.
@article{239369226f5543dc98876f55491d7f7d,
title = "Prolonged focal negative motor seizures: A video-EEG study",
abstract = "Purpose: Focal negative motor (akinetic) seizures are rare ictal events that are diagnostically challenging because they are difficult to differentiate from postictal Todd paresis, transient ischemic attacks, migraine events, and psychogenic episodes. Methods: We describe a 45-year-old man in whom, after surgical drainage of a right frontoparietal subdural hematoma, prolonged episodes developed with flaccid paralysis of the left arm. Results: A video-EEG recording demonstrated a close relation between the focal motor impairment and a clear-cut epileptic ictal discharge involving the right perirolandic cortical areas. Conclusions: On the basis of the electroclinical data, we hypothesize the involvement of the primary motor area in the genesis of the epileptic discharge triggering focal negative seizures.",
keywords = "Focal epilepsy, Ictal paralysis, Negative seizures, Prolonged seizures, Todd paresis",
author = "Flavio Villani and Domenico D'Amico and Alessandro Pincherle and Vincenzo Tullo and Luisa Chiapparini and Gennaro Bussone",
year = "2006",
month = "11",
doi = "10.1111/j.1528-1167.2006.00804.x",
language = "English",
volume = "47",
pages = "1949--1952",
journal = "Epilepsia",
issn = "0013-9580",
publisher = "Blackwell Publishing Inc.",
number = "11",

}

TY - JOUR

T1 - Prolonged focal negative motor seizures

T2 - A video-EEG study

AU - Villani, Flavio

AU - D'Amico, Domenico

AU - Pincherle, Alessandro

AU - Tullo, Vincenzo

AU - Chiapparini, Luisa

AU - Bussone, Gennaro

PY - 2006/11

Y1 - 2006/11

N2 - Purpose: Focal negative motor (akinetic) seizures are rare ictal events that are diagnostically challenging because they are difficult to differentiate from postictal Todd paresis, transient ischemic attacks, migraine events, and psychogenic episodes. Methods: We describe a 45-year-old man in whom, after surgical drainage of a right frontoparietal subdural hematoma, prolonged episodes developed with flaccid paralysis of the left arm. Results: A video-EEG recording demonstrated a close relation between the focal motor impairment and a clear-cut epileptic ictal discharge involving the right perirolandic cortical areas. Conclusions: On the basis of the electroclinical data, we hypothesize the involvement of the primary motor area in the genesis of the epileptic discharge triggering focal negative seizures.

AB - Purpose: Focal negative motor (akinetic) seizures are rare ictal events that are diagnostically challenging because they are difficult to differentiate from postictal Todd paresis, transient ischemic attacks, migraine events, and psychogenic episodes. Methods: We describe a 45-year-old man in whom, after surgical drainage of a right frontoparietal subdural hematoma, prolonged episodes developed with flaccid paralysis of the left arm. Results: A video-EEG recording demonstrated a close relation between the focal motor impairment and a clear-cut epileptic ictal discharge involving the right perirolandic cortical areas. Conclusions: On the basis of the electroclinical data, we hypothesize the involvement of the primary motor area in the genesis of the epileptic discharge triggering focal negative seizures.

KW - Focal epilepsy

KW - Ictal paralysis

KW - Negative seizures

KW - Prolonged seizures

KW - Todd paresis

UR - http://www.scopus.com/inward/record.url?scp=33750896836&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33750896836&partnerID=8YFLogxK

U2 - 10.1111/j.1528-1167.2006.00804.x

DO - 10.1111/j.1528-1167.2006.00804.x

M3 - Article

C2 - 17116038

AN - SCOPUS:33750896836

VL - 47

SP - 1949

EP - 1952

JO - Epilepsia

JF - Epilepsia

SN - 0013-9580

IS - 11

ER -