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The lateralizing and localizing value of adversion in epileptic seizures

Department of Neurology (Drs. Robillard, Saint-Hilaire, and Mercier) and Neurosurgery (Dr. Bouvier), Hopital Notre-Dame, University of Montreal, Montreal, Quebec, Canada.

We studied 24 patients who had adversion as the first clinical manifestation of seizures. Seizures were recorded with depth electrodes as part of the evaluation for possible surgery for epilepsy. Head rotation did not help to lateralize the epileptic focus clinically, because deviations occurred ipsilaterally to the EEG focus in some patients, and because some patients had head rotation in either direction despite a unifocal epileptogenic abnormality. Furthermore, no cortical localization was consistently linked to either direction or degree of adversion. Adversion has no consistent lateralizing or localizing value.

Address correspondence and reprint requests to Dr. Saint-Hilaire, 1560 Est, rue Sherbrooke, Montrkal, Canada, H2L 4K8.

Presented at the Eastern Association of EEG, Ski meeting, Mont-Gabriel, Quebec, Canada, March 1982.

Accepted for publication January 6, 1983.

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