title: Ipsilateral head deviation related to orbito-frontal and fronto-polar seizures.
abstract: The localizing and lateralizing values of eye and head ictal deviations during frontal lobe seizures are still matters of debate. In particular, no specific data regarding the origin of ipsilateral head turning in frontal lobe seizures are available. We report a patient with frontal lobe seizures associated with reproducible, early, ipsilateral head deviation, where imaging and video-stereo-electroencephalography data, as well as surgical outcome, demonstrated the fronto-polar and orbito-frontal origin of the epileptic discharge. We conclude that early ipsilateral head deviation, in the context of frontal lobe epilepsy, raises the possibility of fronto-polar or orbito-frontal seizure onset.[Published with video sequences].
authors.affiliation: Department of Functional Neurology and Epileptology, Neurological Hospital Pierre Wetheimer, Lyon, France.
authors.forename: S
authors.initials: S
authors.lastname: Rheims
authors.forename: Geneviève
authors.initials: G
authors.lastname: Demarquay
authors.forename: Marc
authors.initials: M
authors.lastname: Guénot
authors.forename: Marc
authors.initials: M
authors.lastname: Sindou
authors.forename: François
authors.initials: F
authors.lastname: Mauguière
authors.forename: Philippe
authors.initials: P
authors.lastname: Ryvlin
mesh_terms: D000328:Adult; D004569:Electroencephalography; D017034:Epilepsy, Frontal Lobe / Q000503:physiopathology* / Q000601:surgery; D005133:Eye Movements; D005260:Female; D019416:Head Movements; D006801:Humans; D012640:Seizures / Q000503:physiopathology* / Q000601:surgery; D014741:Video Recording