[Gyratory epileptic seizures. Radioclinical correlations]

Area of Science:

• Neurology
• Epileptology

Background:

• Gyratory seizures are challenging to classify, presenting diagnostic difficulties.
• Understanding the etiology of gyratory seizures is crucial for effective epilepsy management.

Observation:

• Three cases of gyratory seizures with loss of consciousness are presented.
• Seizures evolved into generalized tonic-clonic or mixed generalized seizures.
• Two cases revealed deep brain lesions (paracentral lobule, para-thalamic area).
• One case was diagnosed as idiopathic generalized epilepsy based on clinical and EEG findings.

Findings:

• Gyratory seizures can manifest in both symptomatic partial epilepsy and idiopathic generalized epilepsy.
• The underlying etiology influences seizure presentation and classification.
• Clinical and electroencephalographic (EEG) evaluation is essential for accurate diagnosis.

Implications:

• Accurate classification of gyratory seizures is vital for targeted epilepsy treatment.
• Further research is needed to elucidate the mechanisms underlying gyratory seizures in different epilepsy types.
• This study underscores the importance of comprehensive etiological investigation in patients with gyratory seizures.