ABSTRACT

A 42-year-old, right-handed housewife had a cerebral contusion from a fall at the age of 4 years. At the age of 18, she experienced her first seizure, with loss of consciousness followed by a convulsion. Subsequently, she repeatedly had seizures consisting of right-sided hemifacial spasms and slight turning of the head and eyes toward the right; these seizures occurred several times a day. Seizures with impairment of consciousness lasting 20-30 minutes preceded by an indiscernible aura and accompanied by automatisms were also observed.