Seizures: motor presentations

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Seizures: motor presentations. Pedalling, Gyrations, Dancing, Running: cursive, Undressing, Fencer’s posture. Fully referenced neurology checklist.

Limb and body movements

  • Pedalling
  • Gyrations
  • Dancing
  • Running: cursive
  • Undressing
  • Fencer’s posture
  • Incoordination
  • Dystonic posturing
  • Hemiballism movements
  • Toe dorsiflexion
  • Asymmetric tonic limb posturing (ATLP, figure-of-4 sign)
  • Pseudo figure-of-4 sign: this is false localising ATLP
  • Pelvic thrusting: with frontal and temporal lobe seizures
  • Ictal body turning: versive or non-versive
  • Ictal turning prone (ITP)
  • Bed leaving
  • Belly dancing (belly dancer’s syndrome)
  • Abdominal clonic jerks

Buccofacial movements

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Head movements

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Hand postures and movements

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Religious movements

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References

  1. Chang RS, Leung CYW, Ho CCA, Yung A. Classifications of seizures and epilepsies, where are we? A brief historical review and update. J Formos Med Assoc 2017; pii: S0929-6646(17)30147-X (Epub ahead of print).
  2. Fisher RS, Cross JH, D'Souza C, et al. Instruction manual for the ILAE 2017 operational classification of seizure types. Epilepsia 2017; 58:531-542.
  3. Dobesberger J, Walser G, Embacher N, et al. Gyratory seizures revisited: a video-EEG study. Neurology 2005; 64:1884-1887.
  4. Bagla R, Khoury JS, Skidmore C. Teaching video neuroimages: dancing epilepsy. Neurology 2009; 72:e114.
  5. Neilson J, Snyder T, Pugh J, Wheatley M, Tang-Wai R. Gelastic seizures with dancing arising from the anterior prefrontal cortex. Epileptic Disord 2014; 16:233-237.
  6. And 41 more. Subscribe to see the full list

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