The ictal discharge usually starts in the medial occipital cortex, below and/or above the calcarine sulcus. In most cases (44 seizures, 14 patients), the ocular deviation were "tonic", rapid controlateral to the discharge. Most often (27 seizures, 14 patients), the eye movement was ...
The eye movements were saccadic in 89.3% with a predominant vector in oblique upward direction in 86.8% of the seizures. Head deviation was present in 100% of the seizures and the eyes and head deviated in the same direction in 97.6% of the seizures. In addition to deviation along the ...
In response, the patient had clinically stereotyped seizures associated with staring, behavioral arrest, followed by eye deviation to the left, tonic stiffening in upper and lower extremities, and labored breathing lasting between 30?s and 2?min. These seizures were reliably reproducible within a ...
eye deviation to the left or right at 1 month; seizure-free between 16 and 40 months; tonic seizures with vocalization, motion arrest with staring since 3 years 4 months Runs of increment rhythmic θ activity over the bilateral frontocentroparietal areas during sleep at 13 months; occasional ru...
Whenever head deviation was present, this was further classified as a natural head turn or a clear head version (unnatural, forced and sustained) [9]. The involvement of upper extremities was described as proximal appendicular involvement (contraction proximal to wrist joint), distal involvement ...
(%) Horizontal oculocephalic eye deviation, (%) No deviation 17 (6.7) Minimal deviation 44 (17.3) Abnormalities in respiration, (%) Irregular 49 (19.3) Shallow 42 (16.5) Respiratory arrest 12 (4.7) Seizures Clinical seizures witnessed in the ward, (%) 29 (50.8) Type of witnessed seizures...
Lateralizing significance of head and eye deviation in secondary generalized tonic-clonic seizures. We studied 92 secondary generalized tonic-clonic seizures (SGTCS) in 29 patients with a clearly lateralized seizure focus using video-EEG telemetry. An exa... JC Kernan,O Devinsky,DJ Luciano,... ...
It is over a century since Fritsch and Hitzig, Ferrier, and Jackson laid down the experimental and clinical basis for functional localization in persons both with and without seizure disorders, and it is over 50 years since Foerster, Penfield, and their
Tonic seizures were axial with flexion or extension of the head or trunk, or global with generalized tonic spasm mimicking infantile spasm, or involved the eyeballs only (either brief, with upward deviation of eyeballs or long, with oscillatory nystagmus). EEG showed either a bilateral 10–13-...
In response, the patient had clinically stereotyped seizures associated with staring, behavioral arrest, followed by eye deviation to the left, tonic stiffening in upper and lower extremities, and labored breathing lasting between 30?s and 2?min. These seizures were reliably reproducible within a ...