scholarly journals DIRECTED AGGRESSIVE BEHAVIOR IN FRONTAL LOBE EPILEPSY: A VIDEO-EEG AND ICTAL SPECT CASE STUDY

Neurology ◽  
2009 ◽  
Vol 73 (21) ◽  
pp. 1804-1806 ◽  
Author(s):  
J. J. Shih ◽  
T. LeslieMazwi ◽  
G. Falcao ◽  
J. Van Gerpen
CNS Spectrums ◽  
1999 ◽  
Vol 4 (9) ◽  
pp. 64-66,82 ◽  
Author(s):  
Bonnie J. Ramsey

AbstractAlthough psychotic symptoms are a recognized manifestation of epilepsy, these are more often associated with seizures of the temporal lobe type. While 10% of children with temporal lobe epilepsy develop a psychotic disorder by adulthood, the literature does not report any cases of psychotic disorders associated with frontal lobe seizures in children. This article presents a unique case of a girl whose frontal lobe seizures were associated with delusional psychotic symptoms. Once her seizure disorder was identified through electroencephalography (EEG) and appropriate anticonvulsant therapy was initiated, her associated psychotic symptoms resolved.


2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Geetanjali Rathore ◽  
Paul Larsen ◽  
Manish Parakh ◽  
Cristina Fernandez

Frontal lobe seizures have a tendency to occur in sleep and in most cases occur exclusively insleep; these individuals are said to have nocturnal frontal lobe (NFLE). NFLE can be difficult to distinguish clinically from various other sleep disorders, particularly parasomnias, which also present with paroxysmal motor activity in sleep. Interictal and ictal EEG findings are frequently unremarkable or nonspecific in both parasomnias and NFLE making the diagnosis even more difficult. Nocturnal epilepsy should be suspected in patients with paroxysmal events at night characterized by high frequency, repetition, extrapyramidal features, and marked stereotypy of attacks. Here we present a 13-year-old female who was extensively worked up for choking episodes at night. On repeat video EEG she was found to have frontal opercular seizures. Once on Carbamazepine, her seizures completely resolved.


SLEEP ◽  
2009 ◽  
Vol 32 (12) ◽  
pp. 1637-1644 ◽  
Author(s):  
Christopher P. Derry ◽  
A. Simon Harvey ◽  
Matthew C. Walker ◽  
John S. Duncan ◽  
Samuel F. Berkovic

Seizure ◽  
2011 ◽  
Vol 20 (7) ◽  
pp. 583-585 ◽  
Author(s):  
Yuko Tomonoh ◽  
Sawa Yasumoto ◽  
Yukiko Ihara ◽  
Takako Fujita ◽  
Noriko Nakamura ◽  
...  

2006 ◽  
Vol 68 (2) ◽  
pp. 95-102 ◽  
Author(s):  
Masafumi Fukuda ◽  
Hiroshi Masuda ◽  
Jyunpei Honma ◽  
Shigeki Kameyama ◽  
Ryuichi Tanaka

2018 ◽  
Vol 20 (5) ◽  
pp. 447-450
Author(s):  
Pedro Correia ◽  
Christian Vollmar ◽  
Jan Rémi ◽  
Christian la Fougere ◽  
Soheyl Noachtar

2014 ◽  
Vol 22 (2) ◽  
pp. 113-119 ◽  
Author(s):  
Marjan Dolatshahi ◽  
Alexei Yankovsky

SUMMARYIntroduction.Dominant presentation of ictal forced repetitive swearing has been rarely addressed and could be misdiagnosed.Case report.We report a 45-year-old man with a long history of right frontal lobe epilepsy (FLE) who developed forced repetitive swearing during hypermotor seizures. His seizures were refractory to different antiepileptic drugs (AEDs). Scalp video-EEG telemetry suggested a right frontal epileptic focus. Magnetic resonance imaging (MRI) suggested focal cortical dysplasia (FCD) in the right mesial frontal lobe. Intracranial implantation with video-EEG recordings confirmed seizures originating from the MRI lesion. Patient underwent right frontal lobe resection followed by seizure freedom in the last five years on a single AED. Neuropathology confirmed FCD type IIB.Discussion.The following aspects of the case are discussed: FLE and ictal vocalization, swearing, FLE and aggression. We emphasize the differences among ictal vocalisation, verbal automatism and ictal speech. We propose that ictal swearing might fit a verbal automatism definition.Conclusion.Ictal forced repetitive swearing can be a manifestation of hypermotor seizures in FLE and should not be misdiagnosed.


2007 ◽  
Vol 118 (4) ◽  
pp. e121
Author(s):  
M. Milovanović ◽  
V. Radivojević ◽  
Ž. Martinović

2014 ◽  
Vol 45 (S 01) ◽  
Author(s):  
I. Borggräfe ◽  
C. Vollmar ◽  
A. Lösch ◽  
B. Ertl-Wagner ◽  
L. Gerstl ◽  
...  

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