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CC BY-NC-ND 4.0 · International Journal of Epilepsy 2021; 7(01): 36-37
DOI: 10.1055/s-0041-1726171
Letter to the Editor

Localization Value of Versive Seizures—A Video Report

Kalenahalli Jagadishkumar 
1   Department of Pediatrics, JSS Medical College, JSS Academy of Higher Education and Research, Mysore, Karnataka, India
,
Prajwala Hassan Vasudev
1   Department of Pediatrics, JSS Medical College, JSS Academy of Higher Education and Research, Mysore, Karnataka, India
,
Nemichandra Siddanakatte Chandrashekariah
2   Department of Neurology, JSS Medical College, JSS Academy of Higher Education and Research, Mysore, Karnataka, India
,
Ashok Huduguru Chandrashekar Reddy
1   Department of Pediatrics, JSS Medical College, JSS Academy of Higher Education and Research, Mysore, Karnataka, India
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An 8-year-old, right-handed female with no initial precipitating injuries or family history was presented to the casualty with the history of convulsions. Seizure semiology involves sudden onset of forced head and eye deviation to the left lasting for 20 to 30 seconds with clonic movements of left upper limb. During the episode, the child remained responsive and there was no involvement of other limbs ([Fig. 1] and [ Video 1 ]). Child had a total of four such episodes before hospitalization. General physical and neurological examination was within normal limits. Her fundoscopy was normal. Routine investigations and metabolic screens (kidney function tests, liver function tests, serum calcium and magnesium) were normal. The ictal electroencephalography (EEG) showed right frontal spike and wave discharges with phase reversal at F8 with normal background activity. 3.0-T magnetic resonance imaging of brain with contrast was normal with no evidence of any structural abnormality. She was treated with carbamazepine at dose of 10 mg/kg/d twice daily. The child is on regular follow-up and has not had any seizure recurrences.

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Fig. 1 Deviation of eye toward left side.

Video 1 Versive seizures. Video showing sudden onset forced head and eye deviation to the left lasting for 20 to 30 seconds with clonic movements of left upper limb. During the episode, the child remained responsive.


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Publication History

Article published online:
15 June 2021

© 2021. Indian Epilepsy Society. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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