Mesial frontal epilepsy and ictal body turning along the horizontal body axis

Abstract

Objective: To evaluate the clinical utility of mesial frontal semiology. Design: Retrospective case series. Setting: Tertiary epilepsy referral center. Patients: Part 1 of the study involved 152 patients who underwent frontal lobe surgery. Part 2 involved 253 patients who underwent non-frontal lobe surgery. Main Outcome Measures: Inclusion criteria for both parts of the study were seizure localization by analysis of resection margins (mesial frontal, lateral frontal, orbitofrontal, nonfrontal) or intracranial exploration and an Engel class I outcome. In part 1, 84 patients had their habitual seizures analyzed by video encephalography using a semiology checklist of 47 items during the early p..