Localizing and Lateralizing Significance of Initial, Mid-Ictal, and Ictal-End Head Position in Versive Seizures With Secondary Generalization

Latency of onset of the initial version has a localizing significance for the epileptogenic zone, with the shortest latency for frontal seizures and the longest for occipital seizures. This is consistent with the relative distance of the frontal eye field from these seizure-onset zones. An ictal-end head position contralateral to the initial version occurs in approximately 37% of focal epilepsies and is always ipsilateral to the epileptogenic zone.

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Publication Details

Journal
Neurology Clinical Practice
Published
2025-11-06
DOI
https://doi.org/10.1212/cpj.0000000000200559
Primary Topic
Epilepsy research and treatment
Type
article
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article

Localizing and Lateralizing Significance of Initial, Mid-Ictal, and Ictal-End Head Position in Versive Seizures With Secondary Generalization

Akshaya Rathin Sivaji, Suraj Thyagaraj, Neel Fotedar, Imtiaz Nazam
Neurology Clinical Practice
Epilepsy research and treatment
article

Localizing and Lateralizing Significance of Initial, Mid-Ictal, and Ictal-End Head Position in Versive Seizures With Secondary Generalization

Akshaya Rathin Sivaji, Suraj Thyagaraj, Neel Fotedar, Imtiaz Nazam
article en

Abstract

Latency of onset of the initial version has a localizing significance for the epileptogenic zone, with the shortest latency for frontal seizures and the longest for occipital seizures. This is consistent with the relative distance of the frontal eye field from these seizure-onset zones. An ictal-end head position contralateral to the initial version occurs in approximately 37% of focal epilepsies and is always ipsilateral to the epileptogenic zone.

Neurology Clinical PracticeVol. 15(6)
University Hospitals of Cleveland (US), University Hospitals Cleveland Medical Center (US), University School (US), The Neurological Institute (US), Case Western Reserve University (US)
Openalex Percentile: Top 60%
Epilepsy research and treatment
DOISourceOpenAlex
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Localizing and Lateralizing Significance of Initial, Mid-Ictal, and Ictal-End Head Position in Versive Seizures With Secondary Generalization — Akshaya Rathin Sivaji, Suraj Thyagaraj, et al. · Neurology Clinical Practice (2025) | TGRS Research Map | TGRS