Ipsiversive ictal eye and head deviation in a child with cerebral dysgenesis

Carl E. Stafstrom, Mohamad A. Mikati, Herbert E. Gilmore

Research output: Contribution to journalArticle

Abstract

Deviation of the head or eyes at the onset of a seizure usually suggests that the seizure focus is located in the contralateral hemisphere. We describe an infant with extensive cerebral dysgenesis in whom left frontal ictal discharges on EEG were consistently correlated with leftward deviation of the head and eyes. Resection of the left frontal lobe eliminated the focal ictal discharges and versive head and eye movements. Thus, in an abnormally formed immature brain, ictal head and eye movements are not necessarily associated with contralateral ictal discharges, and such ictal discharges can be falsely localizing.

Original languageEnglish (US)
Pages (from-to)277-281
Number of pages5
JournalJournal of Epilepsy
Volume6
Issue number4
DOIs
StatePublished - 1993

    Fingerprint

Keywords

  • Dysgenesis
  • Epilepsy
  • Eye movements
  • Frontal lobe seizure
  • Pediatrics

ASJC Scopus subject areas

  • Neuroscience(all)
  • Clinical Neurology

Cite this