John Libbey Eurotext

Epileptic Disorders

The Educational Journal of the

Ipsilateral head deviation related to orbito-frontal and fronto-polar seizures Volume 7, numéro 2, June 2005

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  • Ipsilateral head deviation related to orbito-frontal and fronto-polar seizures

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Auteurs
Department of Functional Neurology and Epileptology,, Department of Neurosurgery, Neurological Hospital Pierre Wertheimer, Lyon, France
  • Mots-clés : epilepsy, version, orbito-frontal, fronto-polar, head deviation
  • Page(s) : 97-102
  • Année de parution : 2005

The localizing and lateralizing values of eye and head ictal deviations during frontal lobe seizures are still matters of debate. In particular, no specific data regarding the origin of ipsilateral head turning in frontal lobe seizures are available. We report a patient with frontal lobe seizures associated with reproducible, early, ipsilateral head deviation, where imaging and video-stereo-electroencephalography data, as well as surgical outcome, demonstrated the fronto-polar and orbito-frontal origin of the epileptic discharge. We conclude that early ipsilateral head deviation, in the context of frontal lobe epilepsy, raises the possibility of fronto-polar or orbito-frontal seizure onset.[Published with video sequences]