‘Tickling’ seizures originating in the left frontoparietal region

Abstract We report a 10-year-old boy with mild developmental delay and epilepsy with new events of right back tickling and emotional upset. These initially appeared behavioral, causing postulation of habit behaviors or psychogenic nonepileptic seizures. Several ictal and interictal EEGs were unrevea...

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Bibliographic Details
Published in:Epilepsy & behavior case reports 2016-01, Vol.6, p.49-51
Main Authors: Falco-Walter, Jessica J, Stein, Michael, McNulty, Maggie, Romantseva, Lubov, Heydemann, Peter
Format: Article
Language:English
Subjects:
Behavioral stereotypy
Case Report
Frontal epilepsy
Neurology
Parietal epilepsy
PNES
Sensory seizures
Tickling
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Summary:Abstract We report a 10-year-old boy with mild developmental delay and epilepsy with new events of right back tickling and emotional upset. These initially appeared behavioral, causing postulation of habit behaviors or psychogenic nonepileptic seizures. Several ictal and interictal EEGs were unrevealing. Continuous EEG revealed only poorly localized frontal ictal activity. Given that his clinical symptoms suggested a parietal localization, double-density EEG electrodes were placed to better localize the epileptogenic and symptomatogenic zones. These revealed evolution of left greater than right frontoparietal discharges consistent with seizures at the time of the attacks. Medical management has significantly reduced the patient's seizures.
ISSN:2213-3232
2213-3232
DOI:10.1016/j.ebcr.2016.07.002