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

Publication ,  Journal Article
Bell, WL; Walczak, TS; Shin, C; Radtke, RA
Published in: J Neurol Neurosurg Psychiatry
December 1997

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.

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Published In

J Neurol Neurosurg Psychiatry

DOI

ISSN

0022-3050

Publication Date

December 1997

Volume

63

Issue

6

Start / End Page

792 / 795

Location

England

Related Subject Headings

  • Videotape Recording
  • Parietal Lobe
  • Pain
  • Neurology & Neurosurgery
  • Male
  • Magnetic Resonance Imaging
  • Humans
  • Frontal Lobe
  • Epilepsy, Tonic-Clonic
  • Epilepsy, Generalized
 

Citation

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Bell, W. L., Walczak, T. S., Shin, C., & Radtke, R. A. (1997). Painful generalised clonic and tonic-clonic seizures with retained consciousness. J Neurol Neurosurg Psychiatry, 63(6), 792–795. https://doi.org/10.1136/jnnp.63.6.792
Bell, W. L., T. S. Walczak, C. Shin, and R. A. Radtke. “Painful generalised clonic and tonic-clonic seizures with retained consciousness.J Neurol Neurosurg Psychiatry 63, no. 6 (December 1997): 792–95. https://doi.org/10.1136/jnnp.63.6.792.
Bell WL, Walczak TS, Shin C, Radtke RA. Painful generalised clonic and tonic-clonic seizures with retained consciousness. J Neurol Neurosurg Psychiatry. 1997 Dec;63(6):792–5.
Bell, W. L., et al. “Painful generalised clonic and tonic-clonic seizures with retained consciousness.J Neurol Neurosurg Psychiatry, vol. 63, no. 6, Dec. 1997, pp. 792–95. Pubmed, doi:10.1136/jnnp.63.6.792.
Bell WL, Walczak TS, Shin C, Radtke RA. Painful generalised clonic and tonic-clonic seizures with retained consciousness. J Neurol Neurosurg Psychiatry. 1997 Dec;63(6):792–795.

Published In

J Neurol Neurosurg Psychiatry

DOI

ISSN

0022-3050

Publication Date

December 1997

Volume

63

Issue

6

Start / End Page

792 / 795

Location

England

Related Subject Headings

  • Videotape Recording
  • Parietal Lobe
  • Pain
  • Neurology & Neurosurgery
  • Male
  • Magnetic Resonance Imaging
  • Humans
  • Frontal Lobe
  • Epilepsy, Tonic-Clonic
  • Epilepsy, Generalized