What does this research mean for the field?

Rapid Ictal Blinking (RIB) is a frequent ictal phenomenon that lacks significant localizing value overall, although ictal blink rate is significantly higher in patients with occipital seizures, and it can be practically defined as seven or more blinks in any 15-second epoch during a seizure. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

The aim is to define rapid ictal blinking (RIB) and evaluate its frequency and potential for localizing seizures.

April 15, 2026

Understanding of Rapid Ictal Blinking: Definition Criteria, Prevalence, and Localizing Value

Key Points

The aim is to define rapid ictal blinking (RIB) and evaluate its frequency and potential for localizing seizures.
Analysis of blinking rates during seizures.
Comparison of blinking frequency in different seizure types.
Proposing a definition of RIB based on observed thresholds.
Ictal blinking rates were notably higher in patients experiencing occipital seizures.
A definition of RIB was established as seven or more blinks in any 15-second interval during a seizure.
RIB is frequent but does not significantly aid in localizing seizure focus.

Abstract

RIB is a frequent ictal phenomenon without significant localizing value. Ictal BRR was significantly higher for patients with occipital seizures. Based on the findings, a practical definition for RIB was proposed: seven or more blinks in any 15-second epoch during seizure.

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Authors

Saeideh Salehizadeh

University Hospitals of Cleveland

Suraj Thyagaraj

University Hospitals of Cleveland

Neel Fotedar

Journals

Journal of Clinical Neurophysiology

Actions

Institutions

Case Western Reserve University

University of Miami

University Hospitals of Cleveland

References and Citations

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Building similarity graph...

Analyzing shared references across papers

Understanding of Rapid Ictal Blinking: Definition Criteria, Prevalence, and Localizing Value

Key Points

Abstract

Citation Network

Connected Papers

Discussion

Authors

Journals

Actions

Institutions

References and Citations

Citation Network

Connected Papers

Discussion

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