False lateralization of seizure perceived by a patient with infarction of the right parietal lobe who showed the neglect syndrome.

A 66-year-old right-handed man developed seizures characterized by an electric sensation and convulsive movements involving the left arm, which sometimes secondarily generalized. The patient, however, reported that the seizures occurred in his right arm. Neurological examination showed many features of left hemineglect, including allesthesia, secondary to acute infarction of the right parietal lobe. Although allesthetic response was not documented during the seizure, it is likely that sensory symptoms of the seizures were localized inappropriately or that he had false memory for lateralization of seizures. In this case, the neglect syndrome caused by infarction of the right parietal lobe extended to symptoms of the seizure itself.