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Neurology 1999;53:427
© 1999 American Academy of Neurology
Brief Communications

Focal akinetic seizures as documented by electroencephalography and video recordings

Soheyl Noachtar and Hans O. Lüders

From the Department of Neurology (Dr. Noachtar), University of Munich, Germany, and the Department of Neurology (Dr. Lüders), Cleveland Clinic Foundation, Cleveland, OH.

Address correspondence and reprint requests to Dr. Soheyl Noachtar, Department of Neurology, University of Munich, Marchioninistrasse 15, 81377 Munich, Germany.

In three patients with focal epilepsies, focal akinetic seizures that were characterized by ictal paresis of the contralateral arm during preserved consciousness were recorded with EEG and video. MRI and ictal/interictal EEG revealed a frontal or central focus in all patients. Focal akinetic seizures are probably due to epileptic activation of negative motor areas.




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