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Neurology 2002;59:1252-1254
© 2002 American Academy of Neurology
Brief Communications

Asymmetric ending of secondarily generalized seizures A lateralizing sign in TLE

F. Leutmezer, MD, S. Wöginger, MD, E. Antoni, B. Seidl and C. Baumgartner, MD

From the Abteilung fuer Klinische Epilepsieforschung, Department of Clinical Neurology, Vienna University, Vienna, Austria.

Address correspondence and reprint requests to Dr. Christoph Baumgartner, Universitätsklinik für Neurologie, Währinger Gürtel 18-20, A-1090 Vienna, Austria; e-mail: Christoph.Baumgartner{at}akh-wien.ac.at

The authors investigated whether asymmetric ending of the clonic phase of secondarily generalized tonic clonic seizures (SGTCS) has lateralizing value concerning the hemisphere of seizure onset. They studied 70 patients with mesial temporal lobe epilepsy who underwent epilepsy surgery. Asymmetric ending of the clonic phase occurred in 43% of patients. The last clonic movement appeared on the upper extremity ipsilateral to the hemisphere of seizure onset in 83%.






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