Bizarre Semiology and Medically Intractable Seizures

A 15-year-old right hand–dominant young man with medically intractable epilepsy presented to our center to be assessed for surgical candidacy. His seizures began at 5 years of age. Semiology consisted of manual motions where he would grab his groin and rock back and forth. These events were witnessed during the day and lasted for 20-30 seconds. Seizure frequency was regular but not more often than twice per day. During the episodes, he seemed aware, and there was no postictal confusion. Multiple medication trials were tried, and he ultimately achieved successful control with carbamazepine monotherapy and remained seizure free for the next 3 years.
Source: Seminars in Pediatric Neurology - Category: Neurology Authors: Source Type: research