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Seizures l: Introduction

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Understanding seizures and epilepsy relies on key definitions that help in recognizing, classifying, and managing these disorders. These definitions provide a framework for recognizing, classifying, and managing seizure disorders.DefinitionsA seizure is a sudden, abnormal burst of electrical activity in the brain that can cause changes in awareness, movement, sensation, or behavior, depending on the area involved. Epilepsy is a chronic condition characterized by recurrent, unprovoked seizures,...

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Seizures are sudden bursts of abnormal electrical discharge in the brain that interfere with normal function. They are commonly divided into three groups: focal seizures, generalized seizures, and other types that do not fit neatly into either category.Focal SeizuresFocal seizures begin in a single brain region. When awareness is preserved, they are called focal aware seizures and may cause sensations such as tingling, unusual smells, or flashing lights. When awareness is impaired, they are...

Epilepsy and Seizures: Overview

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Frontal lobe epilepsy presented as ictal aggression.

M M Sumer¹, L Atik, A Unal

¹Mesa Hastanesi, Nöroloji Bölümü, Yaflam Cad. No. 5, 06510 Söğütözü, Ankara, Turkey. msumer@mesa.com.tr

Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology

|March 27, 2007

Summary

Ictal aggression, a rare seizure symptom, can stem from frontal or limbic brain lesions. This case highlights a patient whose aggression resolved with medication after identifying a right frontoparietal epileptic focus.

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Area of Science:

Neurology
Neuroscience
Epileptology

Background:

Ictal aggression is an uncommon seizure manifestation.
It is associated with lesions in frontal and limbic brain structures.
Mechanisms differ: limbic lesions cause hyperactivity, while frontal lesions disinhibit the limbic system.

Observation:

This report details a patient presenting with ictal aggression.
Epileptiform activity was localized to the right frontoparietal region post-seizure.
Neuroimaging revealed cortical dysplasia in the right inferior frontal gyrus.

Findings:

The patient's ictal aggression was linked to a right frontoparietal epileptiform focus.
Cortical dysplasia in the right inferior frontal gyrus was identified as the likely cause.
Pharmacological treatment effectively eliminated the seizures and associated aggression.

Implications:

This case expands the understanding of ictal aggression semiology.
It underscores the importance of identifying focal epilepsy in patients with aggressive behaviors.
Successful treatment of the underlying epilepsy offers a therapeutic strategy for ictal aggression.