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Background The alien hand phenomenon (AHP) is a rare disorder of involuntary limb movement together with a loss of sense of limb ownership. AHP occurs as a consequence of frontal, callosal, or posterior cerebral lesions. To characterize the phenomenon of AHP, three patients with paroxysmal AHP were described and proved to be focal seizures by using video-EEG monitoring. Method Clinical history of 3 epileptic patients with AHP was collected. EEG and MRI were performed in each patient. Onedoi:10.1186/s42494-021-00041-5 fatcat:wgs6wrrdujfc7mdcqxz6l3agza