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Epileptic Disord. 2018 Apr 1;20(2):158-163. doi: 10.1684/epd.2018.0966.

Unilateral abdominal clonic seizures of parietal lobe origin: EEG findings.

Author information

1
Department of Neurology, King Fahad Hospital of University, University of Dammam, Saudi Arabia.
2
Division of Neurology, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada.

Abstract

Unilateral abdominal clonic seizures represent a peculiar and rare manifestation of focal onset epilepsy. We present the case of a 26-year-old man with right-sided abdominal clonic movements associated with seizures arising from the left parietal area. We show the ictal EEG correlates of these events, including source localization of early ictal spikes; findings that have not been demonstrated in previously reported cases. The electro-clinical features in this patient suggested that clinical onset occurred after anterior propagation of ictal activity from a region posterior to the neck and trunk area of the sensory homunculus of the postcentral gyrus. [Published with video sequence on www.epilepticdisorders.com].

KEYWORDS:

abdomen; clonic seizures; epilepsy; homunculus; source localization; trunk

PMID:
29624180
DOI:
10.1684/epd.2018.0966
[Indexed for MEDLINE]

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