Lateralizing value of ictal dorsiflexion of the great toe in refractory partial epilepsy

► The dorsiflexion of the great toe was seen in 9.1% patients and in 25 of 27 (9.2%) seizures. ► The seizure raised from temporal lobe in 22 out of 25 seizures (88%). ► More than fifty percent of these seizures were associated with Hippocampal Sclerosis. ► Ictal dorsiflexion of the great toe was contralateral to the epileptogenic zone (VPP = 85.7).