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NEUROLOGY 1986;36:281
© 1986 American Academy of Neurology

Contraversive seizures in occipital epilepsy

Case report and review of the literature

David H. Rosenbaum, MD, Michael Siegel, MD and A. James Rowan, MD

Neurology Service, The Bronx VA Medical Center, Bronx. NY, and Department of Neurology, Mount Sinai School of Medicine, New York, NY.

We studied a man with repeated seizures characterized by deviation of the head and eyes to the left. A right occipital focus was demonstrated in the EEG. Adversion is usually associated with frontal or temporal lobe seizures; the direction of adversion is equally likely to be ipsilateral as contralateral to the ictal focus. In all reports of occipital epilepsy, the ictal focus has been contralateral to the direction of head turning.

Address correspondence and reprint requests to Dr. Rowan, Bronx VA Medical Center, 130 West Kingsbridge Road, Bronx, NY 10468.

Supported in part by USPHS Grant G35552.

Accepted for publication May 17, 1985.




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