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
Language
- eng
Conference Location
- England