Abstract

Mesial frontal lobe epilepsy provokes a complex clinical syndrome characterized by mainly nocturnal occurrence of seizures with stereotyped patterns of repetitive rhythmic movements and diffuse or lateralized postures. Because the EEG is sometimes normal, this syndrome is not always recognized, and these patients risk misdiagnosis and mismanagement. To define guidelines for diagnosis, we describe eight patients with mesial frontal lobe epilepsy and compare them with similar cases reported as mesial frontal lobe epilepsy or given other diagnostic labels, including hysteria and parasomnia.

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