Abstract
The preoperative assessment and surgical management of children and young adults with MRI-negative, frontal lobe epilepsy is often challenging owing to the semiologic expression being unusual or non-lateralizing. Localization based on functional tests may be non-convergent, further compounding the difficulty of surgical planning. We describe a patient with seizures presenting with early, subjective akinesia of the dominant hand that were at times triggered by repetitive motor tasks. Subdural EEG monitoring revealed seizure-origin in the ipsilateral dorsolateral frontal lobe. After resective surgery the patient has had a seizure free period of 9 months, and is free of deficits. This is the first report of frontal lobe seizure semiology consisting of ipsilateral ictal akinesia.
Original language | English (US) |
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Pages (from-to) | 349-355 |
Number of pages | 7 |
Journal | Epileptic Disorders |
Volume | 10 |
Issue number | 4 |
DOIs | |
State | Published - Dec 1 2008 |
Keywords
- Childhood epilepsy
- Epilepsy surgery
- Frontal lobe epilepsy
- Presurgical assessment
ASJC Scopus subject areas
- Clinical Neurology
- Neurology