APHM, Hôpital de la Timone, Service de neurophysiologie clinique, Marseille
Aix-Marseille Univ, INSERM U751, Marseille
Université de Lille II, Lille, Nord-Pas-de-Calais, France
Correspondence: Lisa Vaugier
APHM, Hôpital de la Timone,
Service de Neurophysiologie Clinique,
13005 Marseille, France
We report a 37-year-old, right-handed patient with drug-resistant focal epilepsy whose seizures were characterized by explosive hyperkinetic behaviour. Video-SEEG revealed bifocal organization of epilepsy with two distinct cortical origins of seizures: the right temporal pole and left temporal lateral and perisylvian cortex. Irrespective of the cortical pattern of seizure onset, the hyperkinetic semiology was extremely similar. This supports a major role for “final common pathway” subcortical circuits in the genesis of the hyperkinetic semiology in this patient.