PT  - JOURNAL ARTICLE
AU  - G Shukla
AU  - M Bhatia
AU  - M V Padma Srivastava
AU  - M Tripathi
AU  - A Srivastava
AU  - V P Singh
AU  - P Saratchandra
AU  - A Gupta
AU  - S Gaikwad
AU  - C S Bal
AU  - S Jain
TI  - Unidirectional whole body turning: a new lateralising sign in complex partial seizures
AID  - 10.1136/jnnp.2004.042549
DP  - 2005 Dec 01
TA  - Journal of Neurology, Neurosurgery & Psychiatry
PG  - 1726--1729
VI  - 76
IP  - 12
4099  - http://jnnp.bmj.com/content/76/12/1726.short
4100  - http://jnnp.bmj.com/content/76/12/1726.full
SO  - J Neurol Neurosurg Psychiatry2005 Dec 01; 76
AB  - Background: The lateralising significance of unidirectional whole body turning in patients with complex partial seizures (CPS) arising from the temporal lobe was evaluated. Methods: A total of 330 patients undergoing long term video-EEG study were included. “Unidirectional whole body turning” was defined as rotation of the trunk, head, and limbs by >90° and lasting >10 s. EEG correlates, MRI, and SPECT findings were compared and outcome after surgery was noted for patients with follow up data for >1 year. Results: Unidirectional whole body turning was observed in 13 patients with a mean age of 18±8 years. Concordance of the side of whole body turning with the EEG focus and MRI findings was observed in 11 of the 13 patients (84.7%) and in 26 of 28 seizures (92.8%). The six patients who underwent temporal lobectomy or resection of lesion, opposite to the direction of body turning, had good seizure outcome. Conclusion: Unidirectional whole body turning is a new lateralising sign in temporal lobe CPS with good predictive value for epileptogenic focus contralateral to the direction of turning.