{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T20:08:42Z","timestamp":1790107722979,"version":"4.0.1"},"reference-count":6,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,12,21]]},"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p>We report a case of a prolonged postictal hemianopsia occurring after a focal extraoccipital seizure. A 55-year-old man with a history of neurosyphilis, treated with penicillin, presented to our epilepsy monitoring unit (EMU) for diagnostic evaluation of his spells occurring for 2 years. The spell semiology was stereotypical, described as oral and manual automatisms, speech difficulty and unresponsiveness. During the EMU stay, after his typical seizure was recorded, he experienced right hemianopsia lasting for 2 hours. Electrographically, the ictal pattern was prominent over the left temporal derivation and propagated to the left occipital derivation as the seizure progressed. Interictal epileptiform activity was over the left temporal derivations. We support the view that postictal phenomenon may represent merely a seizure termination zone and not be necessarily localising to the seizure onset zone. Furthermore, prolonged isolated postictal symptom of hemianopsia could also be noted in rare situations.<\/jats:p>","DOI":"10.1136\/bcr-2020-239021","type":"journal-article","created":{"date-parts":[[2021,1,12]],"date-time":"2021-01-12T05:40:49Z","timestamp":1610430049000},"page":"e239021","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Prolonged postictal hemianopsia after a focal extraoccipital onset seizure"],"prefix":"10.1136","volume":"14","author":[{"given":"Vibhangini S","family":"Wasade","sequence":"first","affiliation":[{"name":"Neurology, Henry Ford Medical Group, Detroit, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer L","family":"Logan","sequence":"additional","affiliation":[{"name":"Neurology, Henry Ford Medical Group, Detroit, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,1,11]]},"reference":[{"key":"2025082711411260000_14.1.e239021.1","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1684\/j.1950-6945.2002.tb00435.x","article-title":"Postictal signs of lateralizing and localizing significance","volume":"4","author":"Leutmezer","year":"2002","journal-title":"Epileptic Disord"},{"key":"2025082711411260000_14.1.e239021.2","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1097\/WNO.0b013e3181e05340","article-title":"Reversible blindness: simple partial seizures presenting as ictal and postictal hemianopsia","volume":"30","author":"Ghosh","year":"2010","journal-title":"J Neuroophthalmol"},{"key":"2025082711411260000_14.1.e239021.3","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1053\/seiz.2000.0441","article-title":"Ictal visual hallucinations and post-ictal hemianopia with anosognosia","volume":"9","author":"Spatt","year":"2000","journal-title":"Seizure"},{"key":"2025082711411260000_14.1.e239021.4","first-page":"995","article-title":"The Lumleian lectures for 1849. on the pathology and treatment of convulsive diseases","volume":"46","author":"Todd","year":"2005","journal-title":"Epilepsia"},{"key":"2025082711411260000_14.1.e239021.5","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1016\/j.yebeh.2019.03.014","article-title":"Signs and symptoms of the postictal period in epilepsy: a systematic review and meta-analysis","volume":"94","author":"Subota","year":"2019","journal-title":"Epilepsy Behav"},{"key":"2025082711411260000_14.1.e239021.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.yebeh.2010.06.031"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-239021","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T18:41:20Z","timestamp":1756320080000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-239021"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":6,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2021,1,11]]},"published-print":{"date-parts":[[2021,1]]}},"alternative-id":["10.1136\/bcr-2020-239021"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-239021","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1]]}}}