Ictal swearing network confirmed by stereoencephalography: a case report
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Ictal swearing, characterized by episodic utterance of deistic, visceral and other taboo words and phrases, is a rare manifestation of epilepsy. Limited manifestation of that elucidate neural network about manifestation of. Here we report a 43-year-old right-handed man who has suffered from refractory epilepsy manifestation of ictal swearing. The stereoencephalography(SEEG) investigation located the seizure onset zone in left orbito-frontal cortex and the involvement of left orbito-frontal and right hippocampus in the propagation of epileptic activities. Surgical resection has made the patient seizure-free. The present case gives us better understanding of these ictal phenomena and helps to optimize the placement of SEEG electrodes in refractory epilepsy patient with ictal swearing.
KeywordsIctal swearing Epilepsy SEEG Orbitofrontal cortex
This work was funded by the Key Project with Capital Characteristics (Z161100000516008), the National Natural Science Foundation of China (81871009, 81801288) and the National Key R&D Program of China (2016YFC0103909).
Compliance with ethical standards
The patient has consented to the submission of the case report for submission to the journal.
Conflict of interest
The authors declare that they have no conflict of interest.