Subscribe to RSS
Localization Value of Versive Seizures—A Video ReportFunding None.
An 8-year-old, right-handed female with no initial precipitating injuries or family history was presented to the casualty with the history of convulsions. Seizure semiology involves sudden onset of forced head and eye deviation to the left lasting for 20 to 30 seconds with clonic movements of left upper limb. During the episode, the child remained responsive and there was no involvement of other limbs ([Fig. 1] and [ Video 1 ]). Child had a total of four such episodes before hospitalization. General physical and neurological examination was within normal limits. Her fundoscopy was normal. Routine investigations and metabolic screens (kidney function tests, liver function tests, serum calcium and magnesium) were normal. The ictal electroencephalography (EEG) showed right frontal spike and wave discharges with phase reversal at F8 with normal background activity. 3.0-T magnetic resonance imaging of brain with contrast was normal with no evidence of any structural abnormality. She was treated with carbamazepine at dose of 10 mg/kg/d twice daily. The child is on regular follow-up and has not had any seizure recurrences.
Video 1 Versive seizures. Video showing sudden onset forced head and eye deviation to the left lasting for 20 to 30 seconds with clonic movements of left upper limb. During the episode, the child remained responsive.
15 June 2021 (online)
© 2021. Indian Epilepsy Society. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
- 1 Manford M, Fish DR, Shorvon SD. An analysis of clinical seizure patterns and their localizing value in frontal and temporal lobe epilepsies. Brain 1996; 119 (Pt 1) 17-40
- 2 Lieb JP, Dasheiff RM, Engel J Jr. Role of the frontal lobes in the propagation of mesial temporal lobe seizures. Epilepsia 1991; 32 (06) 822-837
- 3 Götz-Trabert K, Hauck C, Wagner K, Fauser S, Schulze-Bonhage A. Spread of ictal activity in focal epilepsy. Epilepsia 2008; 49 (09) 1594-1601
- 4 Wyllie E, Lüders H, Morris HH, Lesser RP, Dinner DS. The lateralizing significance of versive head and eye movements during epileptic seizures. Neurology 1986; 36 (05) 606-611
- 5 Baysal-Kirac L, Rémi J, Loesch AM, Hartl E, Vollmar C, Noachtar S. Eye movements differ between ictal ipsilateral and contralateral head turning. Epilepsy Res 2015; 114: 73-77
- 6 McLachlan RS. The significance of head and eye turning in seizures. Neurology 1987; 37 (10) 1617-1619
- 7 Usui N, Mihara T, Baba K. et al Versive seizures in occipital lobe epilepsy: lateralizing value and pathophysiology. Epilepsy Res 2011; 97 (1-2) 157-161