Ictal asomatognosia as a cause of epileptic falls: simultaneous video, EMG, and invasive EEG.
Intracranial EEG in a 33-year-old man with epilepsy with a history of falls and injuries showed seizure onset in the right posterior parietal region. Electrical stimulation of the region reproduced sudden estrangement of the left lower extremity. EMG and video recordings showed no alteration of extremity tone during the seizure, but his gait halted before he fell. Ictal asomatognosia may be a cause of falls in patients with epilepsy.
So
Elson L
EL
Department of Neurology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
Schaüble
Barbara S
BS
D000058:Accidental Falls; D000328:Adult; D001828:Body Image; D001931:Brain Mapping; D004558:Electric Stimulation; D004569:Electroencephalography; D004576:Electromyography; D004830:Epilepsy, Tonic-Clonic / Q000150:complications* / Q000503:physiopathology; D020233:Gait Disorders, Neurologic / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D021621:Imaging, Three-Dimensional; D007866:Leg; D008279:Magnetic Resonance Imaging; D008297:Male; D010468:Perceptual Disorders / Q000209:etiology*; D014741:Video Recording