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2014 | 22 | 2 | 113-119
Tytuł artykułu

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

Treść / Zawartość
Warianty tytułu
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.
Wydawca
Rocznik
Tom
22
Numer
2
Strony
113-119
Opis fizyczny
Daty
wydano
2014-12-01
otrzymano
2014-08-27
zaakceptowano
2014-11-05
online
2015-03-01
Twórcy
  • Section of Neurology, Department of Internal Medicine University of Manitoba, Manitoba, Canada
Bibliografia
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  • 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.
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Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_1515_joepi-2015-0019
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