Ictal Forced Repetitive Swearing in Frontal Lobe Epilepsy: Case report and review of the literature

• Autorzy: Marjan Dolatshahi , Alexei Yankovsky
• Języki publikacji: EN

Abstrakty

EN

Introduction. 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.

Słowa kluczowe

EN

ictal swearing; frontal lobe epilepsy; lateralization

• Czasopismo: Journal of Epileptology
• Rocznik: 2014
• Tom: 22
• Numer: 2
• Strony: 113-119

Daty

wydano

2014-12-01

otrzymano

2014-08-27

zaakceptowano

2014-11-05

online

2015-03-01

Twórcy

autor

Marjan Dolatshahi

• Section of Neurology, Department of Internal Medicine University of Manitoba, Manitoba, Canada,

autor

Alexei Yankovsky

• Section of Neurology, Department of Internal Medicine University of Manitoba, Manitoba, Canada

Bibliografia

• Bonelli S.B., Lurger S., Zimprich F., Stogmann E., Assem-Hilger E., Baumgartner C.:Clinical seizure lateralization in frontal lobe epilepsy. Epilepsia, 2007, 48: 517–523.[Crossref][PubMed]
• Birca V., Tayah T., Saint-Hilaire J.M., Nguyen D.K.:Ictal swearing: a case series and review. Epileptic Disord., 2013, 15: 377–381.[WoS][PubMed]
• Chase R.A., Cullen J.K., Niedermeyer E.F.L., Stark R.E., Blumer D.P.:Ictal speech automatisms and swearing: studies on the auditory feedback control of speech. Journal of Nervous & Mental Disease, 1967, 144: 406–420.
• Delgado-Escueta A.V., Mattson R.H., King L., Goldensohn E.S., Spiegel H., Madsen J. et al.:Special report. The nature of aggression during epileptic seizures. N. Engl. J. Med., 1981, 305: 711–716.
• Georgiou N., Bradshaw J.L., Phillips J.G., Bradshaw J.A., Chiu E.:Advance information and movement sequencing in Gilles de la Tourette's syndrome. J. Neurol., Neurosurg. & Psychiatry, 1995, 58: 184–191.
• Harlow J.M.:Recovery from a passage of an iron bar through the head. Publications of the Massachusetts Medical Society, 1868, 2: 328–347.
• Janszky J., Fogarasi A., Jokeit H., Ebner A.:Are ictal vocalizations related to the lateralisation of frontal lobe epilepsy? J. Neurol. Neurosurg. & Psychiatry, 2000, 69: 244–247.
• Jobst B.C., Seigel A.M., Thadani V.M., Roberts D.W., Rhode N.H.C., Williamson P.D.:Intractable seizures of frontal lobe origin: clinical characteristics, localizing signs, and results of surgery. Epilepsia, 2000, 41: 1139–1152.
• Manford M., Fish D.R., Shovron S.D.:An analysis of clinical seizure patterns and their localizing value in frontal and temporal lobe epilepsies. Brain, 1996, 119: 17–40.
• Marsh L., Krauss G.L.:Aggression and violence in patients with epilepsy. Epilepsy Behav., 2000, 1: 160–168.
• Mula M.:Epilepsy-induced behavioral changes during the ictal phase. Epilepsy Behav., 2014, 30: 14–16.[Crossref][PubMed]
• Shih J.J., LeslieMazwi T., Falcao G., Van Gerpen J.:Directed aggressive behavior in frontal lobe epilepsy: a video-EEG and ictal spect case study. Neurology, 2009, 73: 1804–1806.[WoS]
• Speedie L.J., Wertman E., Ta'ir J., Heilman K.M.:Disruption of automatic speech following a right basal ganglia lesion. Neurology, 1993, 43: 1768–1774.
• Stephens R., Atkins J., Kingston A.:Swearing as a response to pain. Neuroreport, 2009, 20: 1056–1560.[PubMed][WoS]
• Sumer M.M., Atik L., Unal A., Emre U., Atasoy H.T.:Frontal lobe epilepsy presented as ictal aggression. Neurol. Sci., 2007, 28: 48–51.[WoS]
• Treiman D.M.:Epilepsy and violence: medical and legal issues. Epilepsia, 1986, 27 (Suppl. 2): 77–104.[Crossref]
• Van Lancker D., Cummings J.L.:Expletives: neurolinguistics and neurobehavioral perspectives on swearing. Brain Res. Rev., 1999, 31: 83–104.[Crossref]
• Van Lancker D., Nicklay C.:Comprehension of personally relevant (PERL) versus novel language in two globally aphasic patients. Aphasiology, 1992, 6: 37–61.
• Williamson P.D., Thadani V.M., French J.A., Darcey T.M., Mattson R.H., Spencer S.S. et al.:Medial temporal lobe epilepsy: videotape analysis of objective clinical seizure characteristics. Epilepsia, 1998, 39: 1182–1188.
• Williamson P.D., Spencer D.D., Spencer S.S., Novelly R.A., Mattson R.H.:Complex partial seizures of frontal lobe origin. Ann. Neurol., 1985, 18: 497–504.[Crossref][PubMed]
• Yen D., Su M.S., Yiu C.H., Shih Y.H., Kwan S.Y., Tsai C.P. et al.:Ictal speech manifestations in temporal lobe epilepsy: A video-EEG study. Epilepsia, 1996, 37: 45–49.

Identyfikatory

DOI

10.1515/joepi-2015-0019