John Libbey Eurotext

Epileptic Disorders

The Educational Journal of the International League Against Epilepsy

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


Dept. of Epileptology, Dept. of Radiology/Neuroradiology, University of Bonn, Germany
  • Mots-clés : spinal seizures, tonic spasms, paroxysmal dystonia, Brown-Séquard-syndrome, tonic seizures, algetic seizures
  • DOI : 10.1684/epd.2007.0103
  • Page(s) : 182-5
  • Année de parution : 2007

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]