Epilepsy & behavior : E&B
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Epilepsy & behavior : E&B · Jan 2016
Generalized onset seizures with focal evolution (GOFE) - A unique seizure type in the setting of generalized epilepsy.
We report clinical and electrographic features of generalized onset seizures with focal evolution (GOFE) and present arguments for the inclusion of this seizure type in the seizure classification. ⋯ Generalized onset seizures may occasionally have focal evolution with semiology suggestive of focal seizures, leading to a misdiagnosis of focal onset. This unique seizure type may occur with genetic as well as structural/metabolic forms of epilepsy. The identification of this seizure type may help clinicians choose appropriate medications, avoiding narrow spectrum agents known to aggravate generalized onset seizures.