Hypermotor seizure presenting with unusual psychiatric symptoms - a case report


  • Jith Arya Assistant Professor, Department of Psychiatry, Amrita Institute of Medical sciences
  • Narayanan Dinesh Professor and HOD, Department of Psychiatry, Amrita Institute of Medical Sciences, Kochi
  • V Neelima Junior Resident, Department of psychiatry, Amrita Institute of Medical Sciences, Kochi




hypermotor seizure, unusual symptoms, psychiatric


We report a case of hypermotor seizure activity. The patient presented behavioural changes with previous reports of normal electroencephalogram (EEG). A prolonged video EEG of this patient showed rare epileptic abnormalities over the left frontocentral region, which ruled out a conversion disorder diagnosis. Management using Antiepileptics proved beneficial in this case.


Rao MB. Addressing the burden of epilepsy in India…. Neurol India 2017;65: S4-5.

Wang X, Hu W, Zhang K, Shao X, Ma Y, Sang L, et al. The anatomo-electrical network underlying hypermotor seizures. Front Neurol. 2018; 9:243.

Guedj E, McGonigal A, Vaugier L, Mundler O, Bartolomei F. Metabolic brain PET pattern underlying hyperkinetic seizures. Epilepsy Res. 2012;101(3):237–45.

Rheims S, Ryvlin P, Scherer C, Minotti L, Hoffmann D, Guenot M, et al. Analysis of clinical patterns and underlying epileptogenic zones of hypermotor seizures. Epilepsia. 2008; 49(12):2030–40.

Arain AM, Azar NJ, Lagrange AH, McLean M, Singh P, Sonmezturk H, et al. Temporal lobe origin is common in patients who have undergone epilepsy surgery for hypermotor seizures. Epilepsy Behav. 2016; 64(Pt A):57–61.

Ryvlin P, Minotti L, Demarquay G, Hirsch E, Arzimanoglou A, Hoffman D, et al. Nocturnal hypermotor seizures, suggesting frontal lobe epilepsy, can originate in the insula. Epilepsia. 2006;47(4):755–65.

Tinuper P, Bisulli F, Cross JH, Hesdorffer D, Kahane P, Nobili L, et al. Definition and diagnostic criteria of sleep-related hypermotor epilepsy. Neurology. 2016;86(19):1834-42.

Tinuper P, Provini F, Bisulli F, Vignatelli L, Plazzi G, Vetrugno R, et al. Movement disorders in sleep: Guidelines for differentiating epileptic from nonepileptic motor phenomena arising from sleep. Sleep Medicine Reviews. 2007;11(4):255–67.

Derry CP, Davey M, Johns M, Kron K, Glencross D, Marini C, et al. Distinguishing Sleep Disorders From Seizures. Arch Neurol. 2006;63;705-9.

Lesser RP. Treatment and Outcome of Psychogenic Nonepileptic Seizures. Epilepsy Curr. 2003;3(6):198-200.




How to Cite

Arya , J., N. Dinesh, and . V. Neelima. “Hypermotor Seizure Presenting With Unusual Psychiatric Symptoms - a Case Report”. Kerala Journal of Psychiatry, vol. 34, no. 1, Jan. 2021, pp. 57-59, doi:10.30834/KJP.34.1.2021.233.



Case Report