title: Unidirectional whole body turning: a new lateralising sign in complex partial seizures.
abstract: BACKGROUND
  The lateralising significance of unidirectional whole body turning in patients with complex partial seizures (CPS) arising from the temporal lobe was evaluated.
  
  
  METHODS
  A total of 330 patients undergoing long term video-EEG study were included. "Unidirectional whole body turning" was defined as rotation of the trunk, head, and limbs by >90 degrees and lasting >10 s. EEG correlates, MRI, and SPECT findings were compared and outcome after surgery was noted for patients with follow up data for >1 year.
  
  
  RESULTS
  Unidirectional whole body turning was observed in 13 patients with a mean age of 18+/-8 years. Concordance of the side of whole body turning with the EEG focus and MRI findings was observed in 11 of the 13 patients (84.7%) and in 26 of 28 seizures (92.8%). The six patients who underwent temporal lobectomy or resection of lesion, opposite to the direction of body turning, had good seizure outcome.
  
  
  CONCLUSIONS
  Unidirectional whole body turning is a new lateralising sign in temporal lobe CPS with good predictive value for epileptogenic focus contralateral to the direction of turning.
authors.affiliation: Department of Neurology, All India Institute of Medical Sciences, New Delhi -- 110029, India. garimas@aiims.ac.in
authors.forename: G
authors.initials: G
authors.lastname: Shukla
authors.forename: M
authors.initials: M
authors.lastname: Bhatia
authors.forename: M V
authors.initials: MV
authors.lastname: Padma Srivastava
authors.forename: M
authors.initials: M
authors.lastname: Tripathi
authors.forename: A
authors.initials: A
authors.lastname: Srivastava
authors.forename: V P
authors.initials: VP
authors.lastname: Singh
authors.forename: P
authors.initials: P
authors.lastname: Saratchandra
authors.forename: A
authors.initials: A
authors.lastname: Gupta
authors.forename: S
authors.initials: S
authors.lastname: Gaikwad
authors.forename: C S
authors.initials: CS
authors.lastname: Bal
authors.forename: S
authors.initials: S
authors.lastname: Jain
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D004569:Electroencephalography; D017029:Epilepsy, Complex Partial / Q000150:complications* / Q000503:physiopathology; D005260:Female; D007839:Functional Laterality; D006801:Humans; D008297:Male; D009068:Movement; D011187:Posture