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Arch Neurol. 1999;56:912-913.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

UNILATERAL DYSTONIC posturing of an upper extremity is an interesting phenomenon that occurs typically in seizures of temporal lobe origin.¹ It is a clinically useful lateralizing sign, particularly when complex partial seizures do not generalize (version and focal clonic movements are good lateralizing signs for complex partial seizures becoming generalized). It is always contralateral to the side of the predominant ictal discharge, which is generally the side where the seizure started. This phenomenon also provides a window into mechanisms of ictal spread from the mesial temporal lobe. Efferent pathways from the amygdala in the stria terminalis project to the caudate nucleus, putamen, septal areas, preoptic nucleus, anterior hypothalamus, medial thalamic nuclei, and the nucleus accumbens septi.² The fornix carries the principal efferent fibers from the hippocampus to the lateral septum, medial frontal cortex, gyrus rectus, and the nucleus accumbens septi.³ Relatively few fibers from the hippocampus reach the cingulum.⁴ Strictly . . . [Full Text of this Article]

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Association of Ipsilateral Motor Automatisms and Contralateral Dystonic Posturing: A Clinical Feature Differentiating Medial From Neocortical Temporal Lobe Epilepsy
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Arch Neurol. 1999;56(8):927-932.
ABSTRACT | FULL TEXT