Genetic generalized epilepsy and generalized onset seizures with focal evolution (GOFE)

•Generalized Onset with Focal Evolution seizure (GOFE) is a rare pattern defined by an evolution from generalized onset to focal activity during the same ictal event.•Despite focal clinical features, GOFE refers to Idiopathic Generalized Epilepsy.•We found the use of broad-spectrum anti-seizure medications (ASM) was most efficacious in our case series of patients with GOFE.