Localization value of ictal turning prone.

•Ictal turning prone (ITP) with rotation along the longitudinal body axis is seen in seizures.•Direction of ITP was uni-directional in 12 patients while 4 patients had ITP in opposite direction in different seizures.•ITP does not have a consistent single localizing or lateralizing value.•ITP can be seen with various epileptogenic zones including medial frontal, lateral frontal or temporal.•ITP direction can vary even with a single epileptogenic zone.