14th August 2024

You see a 19-year-old man in the first seizure clinic following his referral from the ED

You see a 19-year-old man in the first seizure clinic following his referral from the ED (emergency department). He is previously fit and well.

He reports that last week, he had abnormal movements that began in the fingers of his left hand and then spread up his arm before causing some twitching of the facial muscles on the left side of his face. There is no loss of awareness. He has a brief warning of 30 seconds of pins and needles in the fingertips prior to the onset of the twitches.

Which is the single most likely focus of epileptic activity?

Select the SINGLE most appropriate option from the list below. Select ONE option only.