May. 21, 2021
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Facial tonic seizures in a man with learning difficulties and Lennox-Gastaut syndrome. Video shows a tonic seizure manifesting mainly in the facial muscles occurred during sleep. The ictal EEG consists of a brief paroxysm of synchronous and rhythmic fast waves. Note that the patient wakes up from sleep immediately after this brief seizure. Also note the occurrence of slow spike-wave discharges with no apparent clinical manifestations. (Courtesy of C P Panayiotopoulos: Panayiotopoulos CP. The Epilepsies: Seizures, Syndromes and Management. Oxford: Bladon Medical Publishing, 2005.)