PURPOSE: Ictal motor phenomena play a crucial role in the localization of @entity410 focus in the management of refractory focal @entity302 . While the importance of unilateral @entity10804 is well established, little attention is paid to the contralateral relatively immobile limb. In cases where @entity10804 mimic @entity42385 and in the absence of previously well-established signs, unilateral relative ictal immobility (RII) is potentially useful as a lateralizing sign. This study was carried out to examine the lateralizing value of this sign and to define its characteristics among @entity1 of refractory focal @entity302 . METHODS: VEEGs of 69 consecutive @entity1 of refractory focal @entity302 who had undergone @entity302 surgery at our center over last four years were reviewed and analyzed for the presence of RII. Unilateral RII was defined as a paucity of movement in one limb lasting for at least 10s while the contralateral limb showed @entity717 (in the absence of @entity3520 or clonic movements in the involved limb). The findings were seen in the light of VEEG, radiological and nuclear imaging data, and with post-surgical outcome. RESULTS: Unilateral RII as a lateralizing sign was found in 24 of 69 @entity1 (34.78%), consisting of both temporal and extra @entity25474 , with 100% concordance with VEEG and MRI data. All @entity1 demonstrating this sign had a good post-surgical outcome. CONCLUSION: RII, when well characterized is a frequent and reliable lateralizing sign in @entity1 of refractory focal @entity302 .

Lateralizing value of unilateral relative ictal immobility in XXXX with refractory focal @entity410 - Looking beyond unilateral @entity10804 .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity410 :: ('MESH:D012640', 'Disease') :: ['seizure'] @entity3520 :: ('MESH:D020821', 'Disease') :: ['tonic or dystonic posturing'] @entity25474 :: ('MESH:C536956', 'Disease') :: ['temporal epilepsy'] @entity42385 :: ('MESH:C536300', 'Disease') :: ['clonic or dystonic movements'] @entity10804 :: ('MESH:C537069', 'Disease') :: ['automatisms'] @entity302 :: ('MESH:D004827', 'Disease') :: ['epilepsy'] @entity717 :: ('MESH:D009069', 'Disease') :: ['purposive or semi-purposive movements']
@entity1 :: (9606,Species) :: ['patients']
