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Neurology 2000;54:227
© 2000 American Academy of Neurology
Brief Communications

The value of pelvic thrusting in the diagnosis of seizures and pseudoseizures

James D. Geyer, MD, Troy A. Payne, MD and Ivo Drury, MD

From the Epilepsy Program (Dr. Geyer), The University of Alabama, Tuscaloosa, AL; the Epilepsy Program (Dr. Payne), Neurology Consultants of St. Cloud, St. Cloud, MN; and the Epilepsy Program (Dr. Drury), Department of Neurology, Henry Ford Hospital, Detroit, MI.

Address correspondence and reprint requests to Dr. James D. Geyer, Clinical Neurophysiology Laboratory, Neurology Consultants, P.C., 701 University Boulevard East, Suite 810, Tuscaloosa, AL 35401.

We evaluated pelvic thrusting as a potential diagnostic sign and localizing indicator of ictal onset. By reviewing the video-EEG results of patients with temporal lobe epilepsy, frontal lobe epilepsy, generalized epilepsy, and pseudoseizures. Pelvic thrusting occurred in 4% of right and 2% of left temporal lobe epilepsy patients, in 24% of frontal lobe epilepsy patients, and in 17% of patients with pseudoseizures. Pelvic thrusting is relatively common in frontal lobe epilepsy and in pseudoseizures, but also occurs in temporal lobe epilepsy.

Key words: Epilepsy—Pseudoseizure—Semiology—Pelvic thrusting




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