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Ecstatic and gelastic seizures related to the hypothalamus
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- Roodakker, Kenney Roy, 1989- (author)
- Uppsala universitet,Landtblom: Neurovetenskap,Uppsala Univ, Sweden
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- Ezra, Bisrat (author)
- Uppsala Univ,osp, Dept Neurosci, Neurol, Uppsa Univ Hla, Sweden.
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- Gauffin, Helena (author)
- Linköpings universitet,Avdelningen för neurobiologi,Medicinska fakulteten,Region Östergötland, Neurologiska kliniken i Linköping
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- Elsevier, 2021
- 2021
- English.
- In: Epilepsy & Behavior Reports. - : Elsevier. - 2589-9864. ; 16
- Journal article (peer-reviewed)
Abstract
Subject headings
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- 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. (C) 2020 The Authors. Published by Elsevier Inc.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Neurologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Neurology (hsv//eng)
Keyword
- Ecstatic seizures
- Gelastic seizures
- Epilepsy
- Hamartoma
- Hypothalamus
Publication and Content Type
- ref (subject category)
- art (subject category)
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