title: The value of pelvic thrusting in the diagnosis of seizures and pseudoseizures.
abstract: We evaluated pelvic thrusting as a potential diagnostic sign and localizing indicator of ictal onset. By reviewing the video-EEG results of patients with temporal lobe epilepsy, frontal lobe epilepsy, generalized epilepsy, and pseudoseizures. Pelvic thrusting occurred in 4% of right and 2% of left temporal lobe epilepsy patients, in 24% of frontal lobe epilepsy patients, and in 17% of patients with pseudoseizures. Pelvic thrusting is relatively common in frontal lobe epilepsy and in pseudoseizures, but also occurs in temporal lobe epilepsy.
authors.affiliation: Epilepsy Program, The University of Alabama, Tuscaloosa, USA.
authors.forename: J D
authors.initials: JD
authors.lastname: Geyer
authors.forename: T A
authors.initials: TA
authors.lastname: Payne
authors.forename: I
authors.initials: I
authors.lastname: Drury
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D004292:Dominance, Cerebral; D017034:Epilepsy, Frontal Lobe / Q000503:physiopathology; D004833:Epilepsy, Temporal Lobe / Q000503:physiopathology / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009068:Movement; D010388:Pelvis / Q000503:physiopathology*; D012640:Seizures / Q000175:diagnosis* / Q000503:physiopathology*; D013702:Temporal Lobe / Q000601:surgery; D014743:Videotape Recording