Ictal swearing network confirmed by stereoencephalography: a case report.

Zhang, Huaqiang; Wang, Di; Ren, Liankun; Fan, Xiaotong; Shan, Yongzhi; Zhao, Guoguang · Acta Neurochir (Wien) · 2019

case_report · Level V

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Abstract

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.