Ecstatic and gelastic seizures related to the hypothalamus.
Ecstatic seizures
Epilepsy
Gelastic seizures
Hamartoma
Hypothalamus
Journal
Epilepsy & behavior reports
ISSN: 2589-9864
Titre abrégé: Epilepsy Behav Rep
Pays: United States
ID NLM: 101750909
Informations de publication
Date de publication:
2021
2021
Historique:
entrez:
14
1
2022
pubmed:
5
11
2020
medline:
5
11
2020
Statut:
epublish
Résumé
Ecstatic seizures constitute a rare form of epilepsy, and the semiology is diverse. Previously, brain areas including the temporal lobe and the insula have been identified to be involved in clinical expression. The aim of this report is to review changes in ecstatic seizures in a patient before and after operation for a hypothalamic hamartoma, and to scrutinize the relation to gelastic seizures. In this case, the ecstatic seizures disappeared after surgery of the hamartoma but reappeared eleven years later. Clinical information was retrospectively obtained from medical records, interviews, and a questionnaire covering seizure semiology that pertained to ecstatic and gelastic seizures. Our findings imply a possible connection between gelastic and ecstatic seizures, originating from a hypothalamic hamartoma. To our knowledge, this location has not previously been described in ecstatic seizures. Gelastic seizures may in this case be associated with ecstatic seizures. We speculate that patients with ecstatic seizures may have an ictal activation of neuronal networks that involve the insula. Our case may add information to the knowledge concerning ecstatic seizures.
Identifiants
pubmed: 35028554
doi: 10.1016/j.ebr.2020.100400
pii: S2589-9864(20)30048-4
pmc: PMC8714766
doi:
Types de publication
Journal Article
Langues
eng
Pagination
100400Informations de copyright
© 2020 The Authors.
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