Focal, generalised epilepsy or both?
A 29-year-old woman presented with a witnessed convulsion, with semiology consistent with a focal-to-bilateral tonic-clonic seizure. Routine EEG supported a syndromic diagnosis of idiopathic generalised epilepsy with photosensitivity. We discuss the clinical utility of seizure semiology, highlighting the caveat that over-reliance or sole reliance on the ictal semiology may result in an erroneous diagnosis of focal epilepsy in someone with a generalised epilepsy.
Authors
- Josemir W. A. S. Sander (ORCID: https://orcid.org/0000-0001-6041-9661)
- Umesh Vivekananda (ORCID: https://orcid.org/0000-0001-6116-2335)
- Aidan Neligan (ORCID: https://orcid.org/0000-0003-3390-5589)
Institutions
- Homerton University Hospital NHS Foundation Trust (GB)
- National Hospital for Neurology and Neurosurgery (GB)
- Stichting Epilepsie Instellingen Nederland (NL)
- University College London (GB)
Publication Details
- Journal
- Practical Neurology
- Published
- 2024-11-05
- DOI
- https://doi.org/10.1136/pn-2024-004290
- Primary Topic
- Epilepsy research and treatment
- Type
- article
- Field-Weighted Citation Impact
- 0.00