An accurate seizure semiology history can approximate the brain area that produces clinical symptoms during a patient’s seizure, aka the symptomatogenic zone. Seizure semiology is a description of the patient’s subjective feelings as well as objective behaviors and movements during seizures. Thus, the first symptom in a patient’s seizure description is often, although not always, quite close to where the seizure begins and is of fundamental interest. Therefore, the most important question you can ask a patient is:
What is the first thing that happens when you have a seizure?
When you ask this question, often a patient will begin at the end of the seizure, typically the tonic clonic portion, and likely the most traumatic part of the first seizure experience to patients and their loved ones alike.
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