PMID: 590226Dec 1, 1977

Ictal tonic postural changes and automatisms of the upper limb during epileptic parietal lobe discharges

S GeierM Enjelvin


Tonic postural changes of the upper limb accompanied by epileptic parietal lobe discharges are not well known. The authors report 3 such cases. In the 3 patients, a total of 18 spontaneous seizures were recorded, 12 by telemetry, from either scalp electrodes or stereotactically implanted electrodes. Of these 18 seizures, 14 included tonic postural changes of the upper limb accompanied by a contralateral parietal discharge. Combining these 3 cases with the 4 such cases in the literature, the authors found that the clinical pattern consisted of a tonic postural change in one upper limb associated with automatisms of the opposite upper limb. It was also found that the same patient might have automatisms involving the upper limb in some seizures and upper limb postural changes in other seizures, both accompanied by the same electrical discharge. It is concluded that tonic postural changes and automatisms in the upper limb may be interchangeable.


Jul 1, 1974·Electroencephalography and Clinical Neurophysiology·S GeierM Enjelvin
Jan 1, 1966·Confinia Neurologica·C A Marsan, K Abraham
Nov 1, 1954·A.M.A. Archives of Neurology and Psychiatry·W Feindel, W PENFIELD


Feb 1, 1992·Annals of Neurology·P D WilliamsonR H Mattson
Oct 3, 2012·Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society·V Salanova
May 1, 1993·Epilepsia·S Sveinbjornsdottir, J S Duncan
Dec 24, 2011·Epilepsia·Frédérique FluchèreFabrice Bartolomei
Jul 1, 1993·Journal of Neurology, Neurosurgery, and Psychiatry·R LeiguardaR Arbelaiz
Jan 7, 2004·Neurologia Medico-chirurgica·Tatsuo AkimuraMichiyasu Suzuki
Jan 1, 1997·Annals of Neurology·R GuerriniF Andermann
Feb 25, 2009·Epilepsy & Behavior : E&B·Soheyl Noachtar, Astrid S Peters
Sep 18, 2002·Mayo Clinic Proceedings·David R Chabolla
Aug 27, 2005·The Psychiatric Clinics of North America·B C Jobst, P D Williamson
Jan 14, 2011·Epilepsy Research·Fabrice BartolomeiPatrick Chauvel
May 25, 2005·Seizure : the Journal of the British Epilepsy Association·I Tuxhorn

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Upper Arm
Single Seizure
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