A Case of Generalized Epilepsy with Asymmetric Features vs. Focal Epilepsy with Rapid Bilateral Synchronization in a Patient with Multiple Seizure Types

Deciding whether an epilepsy is of focal or generalized origin is necessary for establishing treatment options. Sometimes it is not a clear diagnosis. It is important to consider patient history, EEG presentation, clinical semiology, and imaging with these decisions. Presented is a case study of a patient with presumed generalized epilepsy but with focal features. A diagnostic evaluation was performed to ultimately decide if her epilepsy was focal or generalized, and whether she could be a surgical candidate for resection.