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Touch-screen automatisms in the digital age.

Ryan J McGinn1, Jerry Y W Chen2, Danielle M Andrade2

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New gestural automatisms linked to smartphone and tablet use in epilepsy patients have been identified. These touch-screen automatisms are now recognized as part of temporal lobe seizures.

Keywords:
AutomatismEpilepsySeizureSmart phoneTablet

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Area of Science:

  • Neurology
  • Epileptology
  • Behavioral Neurology

Background:

  • Gestural automatisms are common in epilepsy, particularly temporal lobe epilepsy.
  • The increasing use of digital devices may influence seizure semiology.

Purpose of the Study:

  • To describe novel gestural automatisms associated with smartphone and tablet use in epilepsy patients.
  • To investigate the semiological significance of these device-related automatisms.

Main Methods:

  • Case series of 5 patients admitted to a specialized Epilepsy Monitoring Unit.
  • Patients selected based on automatisms mimicking or related to digital device interaction.
  • Detailed clinical and video-EEG monitoring data analyzed.

Main Results:

  • All 5 patients had temporal lobe epilepsy.
  • Automatisms often occurred with bilateral temporal involvement and were predominantly left-handed.
  • A majority of automatisms were perseverative, continuing device usage actions.

Conclusions:

  • Gestural automatisms can reflect contemporary habitual behaviors, including digital device use.
  • Touch-screen automatisms represent a new addition to the semiological spectrum of temporal lobe seizures.
  • These findings highlight the interplay between modern technology and epilepsy presentation.