We present 2 term newborn infants with apneic seizure originating in the occipital lobe that was diagnosed by video-EEG. One infant had ischemic infarction in the distribution of the posterior cerebral artery, extending to the cingulate gyrus. In the other infant, only transient occipital hyperechogenicity was observed by using neurosonography. In both cases, although the critical EEG discharge...

Introduction. Ear plugging (placing fingers in or covering the ears) is a clinical seizure semiology that has been described as a response to an unformed, auditory hallucination localized to the superior temporal neocortex. The localizing value of ear plugging in more complex auditory hallucinations may have more involved circuitry. We report on one child, whose aura was a more complex auditory...

PURPOSE The prevalence of patients thought to have epilepsy who are ultimately diagnosed with asystole or bradyarrhythmias not associated with seizures is currently unknown. We studied a tertiary referral population to determine the rate of clinically significant asystole or bradyarrhythmias in patients being evaluated for possible epilepsy in 2 inpatient epilepsy monitoring units (EMU). METH...

We present a right-handed, young female with a history of epilepsy since the age of 11. She also suffered from systemic lupus erythematosus, requiring treatment with hydoxychloroquine. The patient described no warning signs that preceded her seizures. Her seizures were associated with loss of awareness for approximately 1 min followed by post-ictal confusion for 5 min. During some of her seizur...

Two women aged 21 and 19 years presented with lesional drug-resistant temporal lobe epilepsy (TLE) (table) focal impaired awareness seizures (FIAs) (figure). Inpatient video EEG monitoring captured habitual FIAs accompanied by predominant ipsilateral upper extremity automatisms that mimicked a conductor leading an orchestra (video).

A healthy young boy presented with brief stumbling episodes of recent onset. Evaluation with prolonged EEG-video monitoring led to the diagnosis of supplementary motor area epilepsy. Focal seizures arising from the medial fronto-parietal cortex may present unusual diagnostic pitfalls in their clinical semeiology as well as their EEG characteristics.

This topic discusses the use of EEG in the diagnosis of seizures and epilepsy. A more general discussion of EEG, and the use of other diagnostic tests in the evaluation of patients with seizures and epilepsy are presented separately. (See "Clinical neurophysiology", section on 'Electroencephalogram' and "Video and ambulatory EEG monitoring in the diagnosis of seizures and epilepsy" and "Evaluat...

Ictal paresis (IP) is a rare negative motor phenomenon presenting challenging differential diagnostic problems with transient ischemic attacks, post-ictal paralysis, migraine and psychogenic paralysis. Video-EEG undoubtedly represents the essential mean for a proper diagnosis. Periodic lateralised epileptiform discharges (PLEDs) are a distinctive EEG pattern, consisting of periodic spike or sha...