OBJECTIVE To determine whether seizure semiology is reliable in localizing and distinguishing seizures at 2 independent brain foci in the same patient. DESIGN Two masked reviewers localized seizures from 2 foci by their clinical semiology and intracranial electroencephalograms (EEGs). SETTING Epilepsy monitoring unit of referral comprehensive epilepsy program. PATIENTS Seventeen consecuti...

Seizure semiology has been the foundation of clinical diagnosis of seizure disorders. This article discusses the value and the limitations of behavioral features of seizure episodes in localizing seizure onset. Studies have shown that some semiologic features of seizures are highly accurate in the hemispheric lateralization and lobar localization of seizures. There is good agreement between bli...

OBJECTIVE To evaluate the clinical utility of mesial frontal semiology. DESIGN Retrospective case series. SETTING Tertiary epilepsy referral center. PATIENTS Part 1 of the study involved 152 patients who underwent frontal lobe surgery. Part 2 involved 253 patients who underwent non-frontal lobe surgery. MAIN OUTCOME MEASURES Inclusion criteria for both parts of the study were seizure lo...

To better define seizure characteristics and to examine whether semiological seizure classification (SSC) can be appropriately applied to the seizures of infants and children, we studied 152 videotaped seizures recorded in 133 children. Seizure semiology was described on the basis of a series of behavioural, sensory, and motor phenomena according to SSC. Special emphasis was placed on whether o...

BACKGROUND The logical nature of clinical judgment has been conceptualized in different ways, but a clear connection between the features of clinical judgment and those of semiology is still lacking. METHODS The characteristics of clinical judgment, medical semiology, and psychiatric semiology are described. Connections between them are drawn. RESULTS Clinical judgment is described as an ab...

Augustin Morvan (1819-1897) was a contemporary of Jean-Martin Charcot who practised medicine in rural Brittany. A perspicacious and astute clinician, he described three clinical pictures not previously isolated: in 1875 the semiology of myxoedema, in 1883 the neurological semiology of syringomyelia which he called "paretic analgesia of the upper extremities", and finally in 1890 the semiology o...

BACKGROUND Dancing is a very rare seizure semiology, and has only few case reports so far. Moreover, no case regarded as dancing with both description and video was presented. CASE PRESENTATION A 42-year-old woman with medical intractable epilepsy showed a typical semiology of right temporal lobe epilepsy: right hand automatism and ictal speech. The following semiology, appeared during ictal ...