Painful generalised clonic and tonic-clonic seizures with retained consciousness.

Journal Article (Journal Article;Review)

Two patients in whom consciousness and memory were retained during bilateral clonic or tonic-clonic seizures are reported on, and three patients reported on previously are reviewed. Ictal semiology differed from myoclonic and supplementary motor seizures, which are other seizure types characterised by bilateral motor movements and retained awareness. In the two new patients ictal pain was a prominent feature. It is proposed that propagation of seizure activity may be confined to the sensorimotor areas bilaterally while sparing the neural structures involved in maintaining consciousness and in processing language and memory. This unusual type of seizure may be misdiagnosed as a pseudoseizure. Detailed description of the ictal events and further laboratory evaluation including video-EEG monitoring may be necessary to make the distinction.

Full Text

Duke Authors

Cited Authors

  • Bell, WL; Walczak, TS; Shin, C; Radtke, RA

Published Date

  • December 1997

Published In

Volume / Issue

  • 63 / 6

Start / End Page

  • 792 - 795

PubMed ID

  • 9416819

Pubmed Central ID

  • PMC2169852

International Standard Serial Number (ISSN)

  • 0022-3050

Digital Object Identifier (DOI)

  • 10.1136/jnnp.63.6.792


  • eng

Conference Location

  • England