Focal akinetic seizures as the only clinical manifestation of partial epilepsy

Episodic hemipareis is usually thought to have a vascular etiology. Ictal paresis during seizures usually occurs with other clinical signs. The exact mechanism by which weakness occurs during seizures is difficult to determine as positive and negative motor phenomenona occur in rapid succession. This case describes a girt with episodic ictal hemiparesis since infancy as the only clinical seizure manifestation with VEEG suggesting mesial frontal ictal onset. (c) 2007 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.