INVESTIGADORES
KOCHEN Sara Silvia
artículos
Título:
Dancing epilepsy: a stereo encephalography case report
Autor/es:
CÁMPORA, NURIA; NASIMBERA, ALEJANDRO; DAZA, ANILU; GIAGANTE, BRENDA; ODDO, SILVIA; KOCHEN, SILVIA
Revista:
EPILEPTIC DISORDERS
Editorial:
JOHN LIBBEY EUROTEXT LTD
Referencias:
Año: 2023
ISSN:
1294-9361
Resumen:
AbstractIctal semiology is essential to identify the epileptogenic zone (EZ), especially indrug-resistant focal epilepsy (DRE), as its accurate identification determines thesurgical prognosis. Dancing is highly unusual ictal semiology, and its underly-ing neural networks remain somehow unclear since both temporal and frontallobe (FL) have been implicated in its generation. We present a 21-year-old malewith DRE characterized by dancing seizures. Homemade videos were obtained.Through a non-invasive pre-surgical evaluation, the epileptogenic zone was lo-calized within a gross lesion in the left FL. Using stereo electroencephalography(SEEG), we successfully identified the ictal-onset zone in the mesial middle, infe-rior, and orbito-frontal cortex, with rapid propagation of ictal activity extendingbackward and laterally to the precentral regions. Subsequently, a left frontal mid-dle and inferior gyrectomy was performed, resulting in seizure freedom for the pa-tient. Pathology results revealed a mild malformation of cortical development witholigodendroglial hyperplasia (MOGHE). Atypical seizure semiology, such as danc-ing, provides an interesting starting point for the analysis of the areas involvedin the EZ. Further intracranial recordings are required to fully comprehend theunderlying networks and interactions of cerebral areas during dancing seizures.
