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- W2019697047 abstract "Abstract: An unclassified seizure characterized by a seamless transition from a series of absence seizures to a generalized tonic-clonic convulsion with an apparent focal onset was described in a 15-year-old male patient. At the beginning of a lengthy series of recurrent absences, the ictal EEGs showed diffuse 3 Hz spike-and-wave rhythms with a frontal dominancy. However, the frequency of the spike-wave rhythms varied from 2 to 3 Hz 9 minutes after the onset. The intervals between each absence gradually shortened until the last absence abruptly developed into a versive movement of the head. While this transition occurred, the spike-wave complexes became less rhythmic and synchronized and an abrupt occurrence of repetitive spiking ensued in the right frontal region immediately prior to the left-sided head turning. The frontal focal spiking progressed to a high-voltage spiking activity over the entire right and then both hemispheres corresponding to the appearance of a generalized tonic-clonic convulsion. From the clinical and electrographic points of view, it was concluded that a secondarily generalized tonic-clonic convulsion with a focal motor onset took place immediately following the lengthy series of absences. There were no focal epileptic abnormalities in the interictal EEGs before and after this ictal event. One explanation of this rare ictal phenomenon is the possibility that a dormant frontal epileptogenic focus was transiently activated through the continuous bombardment of generalized spike-wave discharges." @default.
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- W2019697047 date "1984-09-01" @default.
- W2019697047 modified "2023-09-23" @default.
- W2019697047 title "Seamless Transition from Recurrent Absence Seizures to a Generalized Tonic-Clonic Convulsion with Focal Onset" @default.
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- W2019697047 doi "https://doi.org/10.1111/j.1440-1819.1984.tb02837.x" @default.
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