The value of pelvic thrusting in the diagnosis of seizures and pseudoseizures
Abstract
Article abstract 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.
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References
1.
Spencer S, Spencer D, Williamson P, Mattson R. Sexual automatisms in complex partial epilepsy. Neurology 1983;33:527–533.
2.
Ross D, Brunberg J, Drury I, Henry T. Intracerebral depth electrode monitoring in partial epilepsy: the morbidity and efficacy of placement using magnetic resonance imaging-guided stereotactic surgery. Neurosurgery 1996;39 (2):327–334.
3.
AEEGS.Guideline one: minimum technical requirements for performing clinical electroencephalography. J Clin Neurophysiol 1994;11:2–5.
4.
Williamson P, Spencer D, Spencer S, Novelly R, Mattson R. Complex partial seizures of frontal lobe origin. Ann Neurol 1985;18:497–504.
5.
Saygi S, Katz A, Marks D, Spencer S. Frontal lobe partial seizures and psychogenic seizures: comparison of clinical and ictal characteristics. Neurology 1992;42:1274–1277.
6.
Gates J, Ramani V, Whalen S, Loewenson R. Ictal characteristics of pseudoseizures. Arch Neurol 1985;42:1183–1187.
7.
Leis A, Ross M, Summers A. Psychogenic seizures: ictal characteristics and diagnostic pitfalls. Neurology 1992;42:95–99.
8.
Jagoda A, Richey-Klein V, Riggio S. Psychogenic status epilepticus. J Emergency Med 1995;13 (1):31–35.
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Received: March 11, 1999
Accepted: August 17, 1999
Published online: January 11, 2000
Published in print: January 11, 2000
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