Neligan, Aidan;
Vivekananda, Umesh;
Sander, Josemir W;
(2024)
Focal, generalised epilepsy or both?
Practical Neurology
10.1136/pn-2024-004290.
(In press).
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Focal or Bilateral AN3 UV2 LS1 28.08.2024.pdf - Accepted Version Download (1MB) | Preview |
Abstract
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.
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