Looks can be deceptive: A primary generalized epilepsy mimicking a lesional focal-reflex epilepsy

Seizure semiology, the clinical phenomenon which occur during seizures, is the most effective way to identify the type of seizure in patients with epilepsy. Identifying the epilepsy type based on semiology and EEG abnormalities is crucial in diagnosing and choosing the appropriate therapy. Although epilepsies are traditionally divided into “focal” and “generalized”, epilepsy is conceptualized as a network disorder.1 Recent publications have reported focal features among patients with genetic generalized epilepsy (GGE) in the domains of semiology, electroencephalography, neuropsychology, neuropathology, and neuroimaging.

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