Adult absence semiology misinterpreted as mesial XXXX .

@entity1 @entity410 @entity1315 @entity302 @entity2048
Correct diagnosis of @entity410 type and @entity302 is the foundation for appropriate antiepileptic drug selection. Inappropriate medication choices occur in the treatment of generalized @entity302 and may aggravate some @entity410 types, including @entity2048 , potentially leading to pseudo-drug resistance. Fortunately, a correct diagnosis of @entity2048 is usually not difficult, though rarely demonstrates electroclinical overlap with focal @entity410 . EEG can be especially misleading when secondary bilateral synchronous discharges occur in @entity1 with focal @entity410 . However, the semiology of focal @entity410 associated with mesial @entity1315 has a characteristic and consistent semiology that is the mark of this @entity302 in adulthood. We recently encountered a 53-year-old female with refractory @entity410 and a semiology strongly suggesting mesial @entity1315 . Instead of focal @entity410 , @entity2048 were validated by video-EEG monitoring and she became @entity410 -free after a change to broad-spectrum antiepileptic drugs. This case further expands our understanding of the complexity of semiology in electroclinical classification and the spectrum that may occur in adult @entity2048 . It serves to underscore the need for ictal EEG recordings and the importance of concordance with the clinical course during the pre-surgical evaluation of @entity1 with lesions and drug-resistant @entity302 . [Published with video sequences].
