Reviewed By:
Benjamin Kummer, MD (Neurology)
Dr Kummer is Assistant Professor of Neurology at the Icahn School of Medicine at Mount Sinai (ISMMS), with joint appointment in Digital and Technology Partners (DTP) at the Mount Sinai Health System (MSHS) as Director of Clinical Informatics in Neurology. As a triple-board certified practicing stroke neurologist and informaticist, he has successfully improved clinical operations at the point of care by acting as a central liaison between clinical neurology faculty and DTP teams to implement targeted EHR configuration changes and workflows, as well as providing subject matter expertise on health information technology projects across MSHS. | Dr Kummer also has several years’ experience building and implementing several informatics tools, presenting scientific posters, and generating a body of peer-reviewed work in “clinical neuro-informatics” – i.e., the intersection of clinical neurology, digital health, and informatics – much of which is centered on digital/tele-health, artificial intelligence, and machine learning. He has spearheaded the Clinical Neuro-Informatics Center in the Department of Neurology at ISMMS, a new research institute that seeks to establish the field of clinical neuro-informatics and disseminate knowledge to the neurological community on the effects and benefits of clinical informatics tools at the point of care.
Shohei Harase, MD (Neurology)
Dr. Harase spent his junior and senior high school years in Finland and the U.S. After graduating from the University of Washington (Bachelor of Science, Molecular and Cellular Biology), he worked for Apple Japan Inc. before entering the University of the Ryukyus School of Medicine. He completed his residency at Okinawa Prefectural Chubu Hospital, where he received the Best Resident Award in 2016 and 2017. In 2021, he joined the Department of Cerebrovascular Medicine at the National Cerebral and Cardiovascular Center, specializing in hyperacute stroke.
Content updated on Jan 19, 2024
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Fencing posturing
Focal aware seizures
Involuntary movements at night
Being conscious during seizures
Hands and legs move a lot at night
Conscious involuntary movement of arms and legs
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Supplementary motor epilepsy is a disorder characterized by repeated seizures originating from the supplementary motor area of the brain, located in the frontal lobe. These seizures mainly occur out of sleep and may manifest with limb stiffening without loss of consciousness.
Your doctor may ask these questions to check for this disease:
Treatment consists of medications to manage seizures, and surgery or an electrical stimulation device if medications are not effective.
Morris HH 3rd, Dinner DS, Lüders H, Wyllie E, Kramer R. Supplementary motor seizures: clinical and electroencephalographic findings. Neurology. 1988 Jul;38(7):1075-82. doi: 10.1212/wnl.38.7.1075. PMID: 3386826.
https://n.neurology.org/content/38/7/1075.shortKanner AM, Morris HH, Lüders H, Dinner DS, Wyllie E, Medendorp SV, Rowan AJ. Supplementary motor seizures mimicking pseudoseizures: some clinical differences. Neurology. 1990 Sep;40(9):1404-7. doi: 10.1212/wnl.40.9.1404. PMID: 2392226.
https://n.neurology.org/content/40/9/1404.shortOhara S, Ikeda A, Kunieda T, Yazawa S, Taki J, Nagamine T, Taki W, Miyamoto S, Hashimoto N, Shibasaki H. Propagation of tonic posturing in supplementary motor area (SMA) seizures. Epilepsy Res. 2004 Dec;62(2-3):179-87. doi: 10.1016/j.eplepsyres.2004.09.002. PMID: 15579306.
https://www.sciencedirect.com/science/article/abs/pii/S0920121104002049?via%3DihubTufenkjian K, Lüders HO. Seizure semiology: its value and limitations in localizing the epileptogenic zone. J Clin Neurol. 2012 Dec;8(4):243-50. doi: 10.3988/jcn.2012.8.4.243. Epub 2012 Dec 21. PMID: 23323131; PMCID: PMC3540282.
https://www.thejcn.com/DOIx.php?id=10.3988/jcn.2012.8.4.243This symptom checker site is a great resource to either get an idea of what is happening inside your body or even get a second opinion without incurring another huge bill. It also provides a way to connect with a professional if needed. I really enjoy this site.
Aug 30, 2024 (Female, 40s)
Reviewed By:
Benjamin Kummer, MD (Neurology)
Dr Kummer is Assistant Professor of Neurology at the Icahn School of Medicine at Mount Sinai (ISMMS), with joint appointment in Digital and Technology Partners (DTP) at the Mount Sinai Health System (MSHS) as Director of Clinical Informatics in Neurology. As a triple-board certified practicing stroke neurologist and informaticist, he has successfully improved clinical operations at the point of care by acting as a central liaison between clinical neurology faculty and DTP teams to implement targeted EHR configuration changes and workflows, as well as providing subject matter expertise on health information technology projects across MSHS. | Dr Kummer also has several years’ experience building and implementing several informatics tools, presenting scientific posters, and generating a body of peer-reviewed work in “clinical neuro-informatics” – i.e., the intersection of clinical neurology, digital health, and informatics – much of which is centered on digital/tele-health, artificial intelligence, and machine learning. He has spearheaded the Clinical Neuro-Informatics Center in the Department of Neurology at ISMMS, a new research institute that seeks to establish the field of clinical neuro-informatics and disseminate knowledge to the neurological community on the effects and benefits of clinical informatics tools at the point of care.
Shohei Harase, MD (Neurology)
Dr. Harase spent his junior and senior high school years in Finland and the U.S. After graduating from the University of Washington (Bachelor of Science, Molecular and Cellular Biology), he worked for Apple Japan Inc. before entering the University of the Ryukyus School of Medicine. He completed his residency at Okinawa Prefectural Chubu Hospital, where he received the Best Resident Award in 2016 and 2017. In 2021, he joined the Department of Cerebrovascular Medicine at the National Cerebral and Cardiovascular Center, specializing in hyperacute stroke.
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