DISCUSSION
Patients with dominant-sided paresis due to a stroke to the corresponding hemisphere may rarely show spontaneous and unconscious mirror writing during the initial attempts to write with their non-dominant hand. The non-dominant cerebral hemisphere attempts to imitate the necessary arm movements based on the motor memory forged during the writing-learning process, and these movements are reversed. The literature on the pathophysiology of mirror writing reveals a lack of knowledge of the process. Various hypotheses have been proposed, including alterations of the motor cortex, spatial orientation, and visual and thalamocortical circuits.3 In this case, during the postictal period, the left cerebral hemisphere was affected by the seizures, and consecutive epileptiform discharges and disinhibition of the right cerebral hemisphere could have occurred, which may explain the observed behavior.