A Case of Circling Seizure

J Korean Neurol Assoc > Volume 12(2); 1994 > Article

Journal of the Korean Neurological Association 1994;12(2): 354-357.

회전성 간질 발작을 보인 부분성 간질 환자 1례

이상건, 최기종,김재우

동아대학교 신경과.

A Case of Circling Seizure

Sang-Kun Lee, M.D., Ki-Jong Choi, M.D., Jae-Woo Kim, M.D.

Department of Neurology, College of Medicine Dong-A University

Abstract

Circling seizure in which the patient walks repetitively in samall circles is relatively uncommon and may either represent a benign form of primary generalized epilepsy or occur secondary to a focal epileptic activity. Especially circling due to focal seizure activity has been regarded as rare. The authors report 6-year old boy who showed many repetitive circling behavior toward the left side, running automatism, vocalization and mental confusion for 6 hours. He had a history of relatively intractable epilepsy for 3 years of adversive seizures(turning to the right side), staring and vocalzation followed by tonic fencing posturing with cyanosis. The electroencephalography demonstrated frequent focal spikes in the left fronto-temporal area.