Jacksonian march

Clinic

• Jacksonian March / Seizure is a simple partial seizure spreads from the distal part of the limb toward the ipsilateral face
• Jacksonian seizures are initiated with abnormal electrical activity within the primary motor cortex.
• They travel through the primary motor cortex, then affecting the corresponding muscles, often beginning with the fingers.
• Then affects the hand and moves on to more proximal areas on the same side of body.

Symptoms

• Tingling / Numbness or feeling of waves through the fingers
• Sudden head and eye movements
• Smacking of the lips
• Sudden muscle contractions
• It lasts briefly
• They may result in secondary generalized seizure involving both hemispheres.
• They can also start at the feet with tingling / Pins / Needles/ Painful cramps in the foot

• Because it is a partial seizure, the postictal state is of normal consciousness.
• Epilepsia partialis continua (EPC) is characterized by localized continuous jerks, from time to time with spreading Jacksonian seizures and, more rarely, secondarily generalized tonic-clonic seizures. EPC has numerous possible etiologies

Miasms

• Paresthesia
• Seizure