The Role of Seizure Evolution for the Localizaion of the Epileptogenic Zone

Epileptic seizures frequently evolve from one seizure type to another. There are typical seizure sequences, which point to different epilepsy syndromes. For example, generalized myoclonic seizures not infrequently occur in cluster, particularly if precipitated by sleep deprivation and evolve into a generalized tonic-clonic seizure. Another example is abdominal aura, which is followed by an automotor seizure. This sequence is frequently, although not exclusively, seen in patients with temporal epilepsy. The version of the eyes and the head during epileptic seizures was reported to have a lateralizing significance…