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Intermediate Technical IVT

automatisms

Pronunciation: aw-TOM-ah-tizms

Repetitive, stereotyped movements or behaviors that occur during seizures, performed without conscious awareness.

Full Definition

Automatisms are repetitive, stereotyped motor behaviors that occur during seizures, particularly complex partial seizures, while the patient's consciousness is impaired. These involuntary actions appear purposeful but are performed without awareness or voluntary control. Common automatisms include lip smacking, chewing, swallowing, fumbling with clothes, walking aimlessly, or repetitive hand movements. Automatisms are classified as oroalimentary (mouth/eating related), manual (hand movements), gestural (complex movements), verbal (speech), or ambulatory (walking). They provide important localizing information about seizure origin.

Usage

Usage note: Always use plural form; specify type (oroalimentary, manual, etc.) when describing.

In Context

  • "The patient exhibited oroalimentary automatisms including lip smacking and chewing during the complex partial seizure." — Video EEG interpretation
  • "Manual automatisms such as picking at clothing were observed throughout the ictal period." — Seizure observation notes

Also known as

automatic behaviors

Contrasted with

voluntary movements

Don't confuse with

tics stereotypies compulsions

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