Controllable yawning expressed as focal seizures of frontal lobe epilepsy

Abstract Excessive yawning was described in some neurological conditions as part of periictal or ictal manifestations of epilepsy, most commonly temporal lobe. We present the first case of controllable yawning as a primary seizure semiology with dominant frontal lobe involvement in a 20-year-old man...

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Bibliographic Details
Published in:Epilepsy & behavior case reports 2016-01, Vol.6, p.61-63
Main Authors: Wasade, Vibhangini S, Balki, Indranil, Bowyer, Susan M, Gaddam, Shaila, Mohammadi-Nejad, Ali-reza, Nazem-Zadeh, Mohammad-Reza, Soltanian-Zadeh, Hamid, Zillgitt, Andrew, Spanaki-Varelas, Marianna
Format: Article
Language:English
Subjects:
Case Report
Frontal lobe epilepsy
Ictal
MEG-CSI
Neurology
Seizure
VEEG
Yawning
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Summary:Abstract Excessive yawning was described in some neurological conditions as part of periictal or ictal manifestations of epilepsy, most commonly temporal lobe. We present the first case of controllable yawning as a primary seizure semiology with dominant frontal lobe involvement in a 20-year-old man. Video electroencephalography recorded 8 yawning episodes accompanied with right arm movement correlating with rhythmic diffuse theta range activity with left hemispheric predominance. Magnetoencephalography coherence source imaging was consistent with persistent neuronal networks with areas of high coherence reliably present over the left lateral orbitofrontal region. Epileptogenic areas may have widespread networks involving the dominant frontal lobe in unique symptomatogenic areas.
ISSN:2213-3232
2213-3232
DOI:10.1016/j.ebcr.2016.08.005