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Ictal dancing-like semiology in frontal lobe epilepsy

  • Sara Casciato
  • Gianluca Pruneddu
  • Roberta Morace
  • Vincenzo Esposito
  • Giancarlo Di GennaroEmail author
Letter to the Editor
  • 20 Downloads

Dear Editor,

Dancing is a very rare seizure semiology and it is characterized by an integrated gestural motor behavior of rhythmic swinging of the arms and pelvis resembling a dance. Seven cases presenting with dancing-like ictal/post-ictal behavior have been previously reported, but the underlying mechanisms and neural networks of this complex and fascinating ictal behavior remain still not completely understood [1, 2, 3, 4]. The epileptogenic zone (EZ) has been previously hypothesized to be localized both in the temporal and in the frontal lobes. Some authors suggested that the dancing semiology seems to be not typical of temporal lobe epilepsy, since automatisms involving proximal muscles and complex behaviors, such as bicycling, are suggestive of frontal lobe epilepsy [1, 4, 5].

We report a case of a 33-year-old right-handed woman who suffered from medically refractory, weekly, or daily focal seizures, in which the clinical semiology was marked by sudden onset of repetitive...

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

References

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    Limotai C, Noivong P (2016) Ictal dancing associated with hippocampal sclerosis. Seizure 34:74–77.  https://doi.org/10.1016/j.seizure.2015.12.007. CrossRefPubMedGoogle Scholar
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    Kim KT, Chu K, Lee SK (2017) Dancing with a seizure, a case report. BMC Neurol 17(1):16.  https://doi.org/10.1186/s12883-017-0797-2. CrossRefPubMedPubMedCentralGoogle Scholar
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    Bonini F, Mc Gonigal A, Trébuchon A et al (2014) Frontal lobe seizures: from clinical semeiology to localization. Epilepsia 55(2):264–277.  https://doi.org/10.1111/epi.12490 CrossRefPubMedGoogle Scholar

Copyright information

© Fondazione Società Italiana di Neurologia 2019

Authors and Affiliations

  1. 1.IRCCS “NEUROMED”PozzilliItaly
  2. 2.Epilepsy Unit, Child and Adolescent NeuropsychiatryUniversity of SassariSassariItaly
  3. 3.Department of Neurology and Psychiatry“Sapienza” University of RomeRomeItaly

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