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Epileptic Networks Underlying Ictal Swearing: Evidence from a Stereoelectroencephalography Case Report
Xinyi Liang1, Yanfeng Xie1, Li Jiang1
1Department of Neurosurgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Ictal swearing, a rare seizure symptom, involves involuntary cursing. This case report explores its neurological basis in temporal lobe epilepsy, highlighting the paralimbic network
Area of Science:
- Neurology
- Neuroscience
- Epileptology
Background:
- Ictal swearing is an uncommon speech automatism during epileptic seizures.
- It occurs involuntarily, detached from social or emotional context.
Purpose of the Study:
- To analyze the role of the bilateral paralimbic temporal network in ictal swearing.
- To propose potential pathways for ictal swearing expression.
Main Methods:
- Case report of a patient with refractory focal temporal lobe epilepsy.
- Analysis of epileptic activity originating from the right hippocampus with secondary activation of the left hippocampus and amygdala.
Main Results:
- Epileptic activity from the right hippocampus triggered swearing upon secondary activation of the left hippocampus and amygdala.
- This suggests a role for the bilateral paralimbic temporal network in the manifestation of ictal swearing.
Conclusions:
- The bilateral paralimbic temporal network is implicated in the pathophysiology of ictal swearing.
- Understanding these pathways can offer insights into complex seizure manifestations.
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