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Updated: Mar 25, 2026
Author Spotlight: Advancing Pediatric Epilepsy Surgery in Children Through Novel Biomarkers and Enhanced Localization
Published on: September 20, 2024
Ictal Coprolalia: A Case Report and Review of Ictal Speech as a Localizing Feature in Epilepsy
1University of North Texas Health Science Center College of Osteopathic Medicine, Fort Worth, Texas.
Background:
Recognizing ictal semiology is an essential component to localization of seizure onset, especially in intractable epilepsy where surgical therapies may be beneficial. Ictal speech can be a common component of seizure semiology, but the various forms of ictal speech may have different lateralizing and localizing value. Coprolalia is a very rare form of ictal speech.
Methods:
We present a 15 year old with medically intractable seizures characterized by agitation and coprolalia.
Results:
The patient underwent surgical evaluation including video EEG, MRI, and functional neuroimaging. These studies indicated onset within the dominant frontal lobe which was further localized using stereo-electroencephalography prior to focal cortical resection.
Conclusions:
Ictal coprolalia is a rare presentation of ictal speech. We review the various forms of ictal speech and their value in localizing seizure onset.
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