We evaluated seven patients with oral motor apraxia and ocular motor a
praxia. Apraxia in three patients (Group 1) with new-onset partial sei
zures and epileptiform discharges on EEG improved with carbamazepine.
Four patients (Group 2) without seizures and noaepileptiform EEG; find
ings had no change in apraxia after a trial of carbamazepine. Epilepti
c apraxia may precede clinical seizures and can respond to antiepilept
ic drugs.