Teaching Video NeuroImage: Unique Ipsilateral Manual Automatism in Temporal Lobe Epilepsy: Conducting the Orchestra

Two women aged 21 and 19 years presented with lesional drug-resistant temporal lobe epilepsy (TLE) (table) with focal impaired awareness seizures (FIAs) (figure). Inpatient video EEG monitoring captured habitual FIAs accompanied by predominant ipsilateral upper extremity automatisms that mimicked a conductor leading an orchestra (video).

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