Unusual ipsilateral hyperkinetic automatisms in SMA seizures

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Unusual ipsilateral hyperkinetic automatisms in SMA seizures C. Barba, F. Doglietto, D. Policicchio, M. Caulo, G. Colicchio  Seizure - European Journal of Epilepsy  Volume 14, Issue 5, Pages 354-361 (July 2005) DOI: 10.1016/j.seizure.2005.04.011 Copyright © 2005 BEA Trading Ltd Terms and Conditions

Figure 1 In our first patient seizure semiology was characterized by repetitive movements of the right arm at a frequency rate of 6–7Hz. Seizure - European Journal of Epilepsy 2005 14, 354-361DOI: (10.1016/j.seizure.2005.04.011) Copyright © 2005 BEA Trading Ltd Terms and Conditions

Figure 2 Left side: Electrodes implanted in the right fronto-temporal region of patient 1. Note that electrode S and F were located in right SMA-proper and pre-SMA, respectively. Right side: Post-operative MRI showing the area of resection in the same patient. Seizure - European Journal of Epilepsy 2005 14, 354-361DOI: (10.1016/j.seizure.2005.04.011) Copyright © 2005 BEA Trading Ltd Terms and Conditions

Figure 3 Ictal SEEG in patient 1. Some of the electrodes implanted in the patient are included in figure (for each electrode contact 1 was the deepest one). EMG recordings are showed at the last line. Red arrows indicate the beginning of the ictal discharge at electrode F followed by the muscular rhythmic activity. Upper traces: spontaneous seizure; lower traces: seizure provoked by cortical electrical stimulation. (For interpretation of the references to color in this figure legend, the reader is referred to the web version of this article.) Seizure - European Journal of Epilepsy 2005 14, 354-361DOI: (10.1016/j.seizure.2005.04.011) Copyright © 2005 BEA Trading Ltd Terms and Conditions

Figure 4 In our second patient seizure semiology was characterized by repetitive movements of the right arm at a frequency rate of 3–4Hz. Seizure - European Journal of Epilepsy 2005 14, 354-361DOI: (10.1016/j.seizure.2005.04.011) Copyright © 2005 BEA Trading Ltd Terms and Conditions

Figure 5 Left side: Pre-operative MRI showing the right frontal post-abscess. Right side: Electrodes implanted in the right frontal region of patient 2. Note that electrode S was located in right SMA-proper. Seizure - European Journal of Epilepsy 2005 14, 354-361DOI: (10.1016/j.seizure.2005.04.011) Copyright © 2005 BEA Trading Ltd Terms and Conditions

Figure 6 Ictal SEEG in patient 2. Some of the electrodes implanted in the patient are included in figure (for each electrode contact 1 was the deepest one). EMG recordings are showed at the two last lines. Red arrows indicate the beginning of the ictal discharge at electrodes N, L, G, H followed by the muscular rhythmic activity. (For interpretation of the references to color in this figure legend, the reader is referred to the web version of this article.) Seizure - European Journal of Epilepsy 2005 14, 354-361DOI: (10.1016/j.seizure.2005.04.011) Copyright © 2005 BEA Trading Ltd Terms and Conditions