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Epileptic Disorders

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Spinal algetic-tonic seizures manifesting as paroxysmal “positive” Brown-Séquard syndrome Volume 9, issue 2, June 2007

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  • Spinal algetic-tonic seizures manifesting as paroxysmal «positive» Brown-Séquard syndrome
  • Spinal algetic-tonic seizures manifesting as paroxysmal «positive» Brown-Séquard syndrome

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Authors
Dept. of Epileptology, Dept. of Radiology/Neuroradiology, University of Bonn, Germany

We report on a patient suffering from symptomatic spinal attacks in the form of a paroxysmal “positive” (algetic-tonic) Brown-Séquard syndrome. A cervical cord lesion, presumably inflammatory-demyelinating in origin, was identified as the morphological correlate of these attacks. Their pathogenesis is discussed in the light of similar case reports from the literature. For the first time, this rare type of seizure is published with a video documentation. It may deserve consideration in the differential diagnosis of otherwise unexplained paroxysmal events that present in an “epileptic” manner.[Published with video sequences]