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Clinicians rely on reported seizure symptomatology, observed semiology, and EEG data to distinguish between focal- and generalized-onset seizures. In the absence of external observations or corroborating EEG findings, it is tempting to believe that if we ask patients the right questions, their description of what a seizure feels like will illuminate the right diagnosis. Specifically, eliciting symptoms usually associated with focal-onset seizures should be clarifying. Not so much, according to the accompanying article by Seneviratne et al.1 The notion that focal seizure symptoms definitively identify focal-onset seizures appears to be dying, if not dead, dogma.
Footnotes
Disclosure: The author reports no disclosures relevant to the manuscript. Go to Neurology.org for full disclosures.
Study funding: No targeted funding reported.
- © 2015 American Academy of Neurology
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