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Related Experiment Video

Updated: Mar 22, 2026

The Use of Trace Eyeblink Classical Conditioning to Assess Hippocampal Dysfunction in a Rat Model of Fetal Alcohol Spectrum Disorders
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Ictal crying.

Ali A Asadi-Pooya1, Dale Wyeth1, Michael R Sperling1

  • 1Jefferson Comprehensive Epilepsy Center, Department of Neurology, Thomas Jefferson University, Philadelphia, PA, USA.

Epilepsy & Behavior : E&B
|April 17, 2016
PubMed
Summary
This summary is machine-generated.

Ictal crying is rare in epilepsy monitoring units, most often linked to psychogenic nonepileptic seizures (PNES). However, it can also occur in focal epilepsy, not specifically indicating PNES or localizing the seizure origin.

Keywords:
CryingDacrystic seizureEpilepsyPsychogenic

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Area of Science:

  • Neurology
  • Epileptology
  • Clinical Neurophysiology

Background:

  • Ictal crying, or dacrystic seizures, is an uncommon ictal manifestation.
  • Understanding its occurrence and etiology is crucial for accurate diagnosis.

Purpose of the Study:

  • To describe patients experiencing ictal crying.
  • To estimate the frequency of ictal crying.
  • To characterize clinical features and underlying causes.

Main Methods:

  • Retrospective review of video-electroencephalogram (EEG) reports over 12 years.
  • Searched for terms related to crying, sobbing, or weeping.
  • Included patients with documented ictal crying episodes in the epilepsy monitoring unit (EMU).

Main Results:

  • Out of 5133 patients, 32 (0.6%) exhibited ictal crying.
  • Psychogenic nonepileptic seizures (PNES) were the most common cause (27 patients).
  • Five patients had epilepsy, including four with focal epilepsy and one with Lennox-Gastaut syndrome.

Conclusions:

  • Ictal crying is a rare finding in EMUs.
  • While often associated with PNES, it is not exclusive to it.
  • Epileptic ictal crying is typically a rare form of partial seizure in focal epilepsy and does not reliably predict seizure focus.