Focal motor seizure focal automatism seizure true true An automatism is a coordinated, repetitive motor activity, often resembling a voluntary movement, but undertaken without volition. They often occur in seizures with impaired awareness, but can occur in aware states. Focal automatism seizures can be further described using the following descriptors: Orofacial: lip smacking, lip pursing, chewing, swallowing, clicking, eye-blinking. Manual: unilateral or bilateral, fumbling, tapping, manipulating or exploratory movements with the hands. Pedal: bilateral or unilateral movements of the feet/legs, these may include pacing, walking or running. The movement is more reminiscent of normal movements in amplitude, and is less frenetic or rapid in comparison to the movements seen in focal hyperkinetic seizures involving the legs. Perseverative: the movement consists of an inappropriate continuation of pre-seizure movement. Vocal: single or repetitive sounds such as shrieks or grunts. Verbal: single or repetitive words, phrases or brief sentences. Sexual: sexual behaviours. Other: automatisms can include head nodding, undressing and a range of other automatic movements. https://www.ncbi.nlm.nih.gov/pubmed/17525024