Seizures: motor presentations

Evidence-based neurology checklist on seizures: motor presentations: Limb and body movements Pedalling Gyrations Dancing Running: cursive Undressing Fencer’s posture Incoordination Dystonic posturing Hemiballism movements Toe dorsiflexion Asymmetric tonic limb posturing (ATLP, figure-of-4 sign)…

Limb and body movements

  • Pedalling
  • Gyrations
  • Dancing
  • Running: cursive
  • Undressing
  • Fencer’s posture
  • Incoordination
  • Dystonic posturing
  • Hemiballism movements
  • Toe dorsiflexion
  • Asymmetric tonic limb posturing (ATLP, figure-of-4 sign)
  • Pseudo figure-of-4 sign: this is false localising ATLP
  • Pelvic thrusting: with frontal and temporal lobe seizures
  • Ictal body turning: versive or non-versive
  • Ictal turning prone (ITP)
  • Bed leaving
  • Belly dancing (belly dancer’s syndrome)
  • Abdominal clonic jerks

Buccofacial movements

Head movements

Hand postures and movements

Religious movements

References

  1. Chang RS, Leung CYW, Ho CCA, Yung A. Classifications of seizures and epilepsies, where are we? A brief historical review and update. J Formos Med Assoc 2017; pii: S0929-6646(17)30147-X (Epub ahead of print).
  2. Fisher RS, Cross JH, D'Souza C, et al. Instruction manual for the ILAE 2017 operational classification of seizure types. Epilepsia 2017; 58:531-542.
  3. Dobesberger J, Walser G, Embacher N, et al. Gyratory seizures revisited: a video-EEG study. Neurology 2005; 64:1884-1887.
  4. Bagla R, Khoury JS, Skidmore C. Teaching video neuroimages: dancing epilepsy. Neurology 2009; 72:e114.
  5. Neilson J, Snyder T, Pugh J, Wheatley M, Tang-Wai R. Gelastic seizures with dancing arising from the anterior prefrontal cortex. Epileptic Disord 2014; 16:233-237.
  6. And 41 more. Subscribe to see the full list

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