Ictal swearing network confirmed by stereoencephalography: a case report

Area of Science:

• Neurology
• Epileptology
• Neuroscience

Background:

• Ictal swearing is an uncommon epilepsy manifestation involving taboo word utterances.
• Understanding the neural basis of ictal swearing is limited.

Purpose of the Study:

• To investigate the neurobiological underpinnings of ictal swearing in a patient with refractory epilepsy.
• To elucidate the seizure onset zone and propagation pathways associated with ictal swearing.

Main Methods:

• Stereoencephalography (SEEG) was employed to precisely localize seizure activity.
• Analysis of epileptic activity propagation patterns was performed.

Main Results:

• The seizure onset zone was identified in the left orbito-frontal cortex.
• Epileptic activity involved the left orbito-frontal cortex and right hippocampus.
• Surgical resection resulted in complete seizure remission.

Conclusions:

• This case enhances understanding of ictal swearing phenomena.
• Findings can optimize SEEG electrode placement for epilepsy patients with ictal swearing.