2. Case history
Mrs. S 27 years female, R/O Diva, married, housewife
Patient was asymptomatic 6 months back
Patient p/w/c/o
- tingling and numbness:- episodic
- starting in Left LL toes
- gradually progressing proximally involving whole LL
- spreading upwards involving Lt UL
- lasted for 4 hrs, spontaneously recovered
- F/b heaviness of Lt UL & LL, lasting for whole day
- 4 episodes in last 6 mths, including once in sleep ?
when pt woke in night with same heaviness of limbs
3. Negative history
No h/o fever
No h/o Vx, LM
No h/o trauma, pain in neck
No h/o loss of conciousness,
convulsions
Patient not a known case of HTN, DM,
PTB
4. On Examination
GC- fair
P- 76/min regular
BP- 110/70 mm of Hg
No POLICE
CVS - heart sounds heard normally
P/A - soft
RS - AEBE
CNS- pt concious oriented
No focal deficit
No neck stiffness
9. Somatosensory seizures
Subtype of simple partial seizures
Focus of seizures- C/L postrolandic
convolution
Sensory disorder-
Numbness, tingling, “pins & needles” feeling
Occasionally sensation of formication,
electricity, movement of body parts
Rarely pain & thermal sensations
10. Somatosensory seizures
Etiology- in ~70% cases etiology can be
ascertained
ICSOL, AV malformations, intra cranial
hemorrhages responsible for majority
cases
In 30% etiology not known
11. Somatosensory seizures
Onset of seizures-in majority cases lips,
fingers, or toes
Spread to other parts follows a pattern
determined by sensory arrangements in
postrolandic convolution of the parietal
lobe