The frontal arousal rhythm (FAR) is an ictal pattern: a case report.

Abstract

This paper deals with a patient with the Frontal Arousal Rhythm (FAR), a rare rhythmic pattern usually seen in young children awakening from sleep, with a history of seizures. In this patient, subtle clinical changes were observed on the video during the pattern, consisting of a sequence of brief eye lid flutter, chewing, increased inspiration and upper lip quivering. This exact sequence was seen on three successive occasions lasting for 6,9, and 10 sec. The conclusion is the FAR is not just a sign of seizure disorder, but is actually an ictal pattern.