MRI-negative frontal lobe epilepsy with ipsilateral akinesia and reflex activation

The pre-operative assessment and surgicalHospital, FL, Children's Hospital, FL
management of children and young adults with 
MRI-negative, frontal lobe epilepsy is often challengingThe pre-operative assessment and surgical
owing to the semiologic expression being unusual ormanagement of children and young adults with
non-lateralizing. Localization based on functional testsMRI-negative, frontal lobe epilepsy is often challenging
may be non-convergent, further compounding theowing to the semiologic expression being unusual or
difficulty of surgical planning. We describe a patientnon-lateralizing. Localization based on functional tests
with seizures presenting with early, subjectivemay be non-convergent, further compounding the
akinesia of the dominant hand that were at timesdifficulty of surgical planning. We describe a patient
triggered by repetitive motor tasks. Subdural EEGwith seizures presenting with early, subjective
monitoring revealed seizure-origin in the ipsilateralakinesia of the dominant hand that were at times
dorsolateral frontal lobe. After resective surgery thetriggered by repetitive motor tasks. Subdural EEG
patient has had a seizure free period of 9 months,monitoring revealed seizure-origin in the ipsilateral
and is free of deficits. This is the first report ofdorsolateral frontal lobe. After resective surgery the
frontal lobe seizure semiology consisting of ipsilateralpatient has had a seizure free period of 9 months,
ictal akinesia.and is free of deficits. This is the first report of
MRI-negative frontal lobe epilepsy, frontal lobe seizurefrontal lobe seizure semiology consisting of ipsilateral
semiology, Subdural EEG monitoring, Miami Children'sictal akinesia.