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NEUROLOGY 2004;63:370-372
© 2004 American Academy of Neurology
Brief Communications

Ictal head version in generalized epilepsy

Peter S. Chin, MD and John W. Miller, MD PhD

From the Regional Epilepsy Center, Departments of Neurology (Drs. Chin and Miller) and Neurological Surgery (Dr. Miller), University of Washington, Seattle, and Robert Wood Johnson/VA Clinical Scholars Program, Departments of Medicine (Dr. Chin) and Neurology (Dr. Chin), University of California Los Angeles, and VA Greater Los Angeles Healthcare System.

Address correspondence and reprint requests to Dr. John W. Miller, Regional Epilepsy Center, 325 Ninth Ave., Box 359745, Seattle, WA 98104; e-mail: millerjw{at}u.washington.edu

Focal physical signs may occur with generalized seizures. The authors retrospectively reviewed video-EEG studies of 20 patients with apparent primary generalized epilepsy to assess the frequency of head version during generalized tonic-clonic seizures. Five patients (25%) demonstrated forced head version, including two with turning to the right and left on consecutive seizures. Forced head turning can occur in generalized epilepsy and may not necessarily indicate focal seizure origin.

Received October 13, 2003. Accepted in final form March 8, 2004.

The views expressed in this publication do not necessarily reflect those of the Robert Wood Johnson Foundation.






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