Ecstatic and gelastic seizures related to the hypothalamus
Ecstatic seizures constitute a rare form of epilepsy, and the semiology is diverse. Previously, brain areas including the temporal lobe and the insula have been identified to be involved in clinical expression. The aim of this report is to review changes in ecstatic seizures in a patient before and...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-01-01
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| Series: | Epilepsy & Behavior Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589986420300484 |
| _version_ | 1818950448165421056 |
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| author | Kenney Roy Roodakker Bisrat Ezra Helena Gauffin Francesco Latini Maria Zetterling Shala Berntsson Anne-Marie Landtblom |
| author_facet | Kenney Roy Roodakker Bisrat Ezra Helena Gauffin Francesco Latini Maria Zetterling Shala Berntsson Anne-Marie Landtblom |
| author_sort | Kenney Roy Roodakker |
| collection | DOAJ |
| description | Ecstatic seizures constitute a rare form of epilepsy, and the semiology is diverse. Previously, brain areas including the temporal lobe and the insula have been identified to be involved in clinical expression. The aim of this report is to review changes in ecstatic seizures in a patient before and after operation for a hypothalamic hamartoma, and to scrutinize the relation to gelastic seizures. In this case, the ecstatic seizures disappeared after surgery of the hamartoma but reappeared eleven years later.Clinical information was retrospectively obtained from medical records, interviews, and a questionnaire covering seizure semiology that pertained to ecstatic and gelastic seizures. Our findings imply a possible connection between gelastic and ecstatic seizures, originating from a hypothalamic hamartoma. To our knowledge, this location has not previously been described in ecstatic seizures. Gelastic seizures may in this case be associated with ecstatic seizures.We speculate that patients with ecstatic seizures may have an ictal activation of neuronal networks that involve the insula.Our case may add information to the knowledge concerning ecstatic seizures. |
| first_indexed | 2024-12-20T09:18:45Z |
| format | Article |
| id | doaj.art-37b127c003434f999fa5795a34d7bdef |
| institution | Directory Open Access Journal |
| issn | 2589-9864 |
| language | English |
| last_indexed | 2024-12-20T09:18:45Z |
| publishDate | 2021-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Epilepsy & Behavior Reports |
| spelling | doaj.art-37b127c003434f999fa5795a34d7bdef2022-12-21T19:45:21ZengElsevierEpilepsy & Behavior Reports2589-98642021-01-0116100400Ecstatic and gelastic seizures related to the hypothalamusKenney Roy Roodakker0Bisrat Ezra1Helena Gauffin2Francesco Latini3Maria Zetterling4Shala Berntsson5Anne-Marie Landtblom6Department of Neuroscience, Neurology, Uppsala University, University Hospital, Uppsala, Sweden; Corresponding author.Department of Neuroscience, Neurology, Uppsala University, University Hospital, Uppsala, SwedenDepartment of Neurology and Department of Biomedical and Clinical Sciences, Faculty of Medicine and Health Sciences, Linköping University, Linköping, SwedenDepartment of Neuroscience, Neurosurgery, Uppsala University, Uppsala, SwedenDepartment of Neuroscience, Neurosurgery, Uppsala University, Uppsala, SwedenDepartment of Neuroscience, Neurology, Uppsala University, University Hospital, Uppsala, SwedenDepartment of Neuroscience, Neurology, Uppsala University, University Hospital, Uppsala, Sweden; Department of Neurology and Department of Biomedical and Clinical Sciences, Faculty of Medicine and Health Sciences, Linköping University, Linköping, Sweden; Neurology Division, Clinic of Medical Specialist, Motala General Hospital, Motala, SwedenEcstatic seizures constitute a rare form of epilepsy, and the semiology is diverse. Previously, brain areas including the temporal lobe and the insula have been identified to be involved in clinical expression. The aim of this report is to review changes in ecstatic seizures in a patient before and after operation for a hypothalamic hamartoma, and to scrutinize the relation to gelastic seizures. In this case, the ecstatic seizures disappeared after surgery of the hamartoma but reappeared eleven years later.Clinical information was retrospectively obtained from medical records, interviews, and a questionnaire covering seizure semiology that pertained to ecstatic and gelastic seizures. Our findings imply a possible connection between gelastic and ecstatic seizures, originating from a hypothalamic hamartoma. To our knowledge, this location has not previously been described in ecstatic seizures. Gelastic seizures may in this case be associated with ecstatic seizures.We speculate that patients with ecstatic seizures may have an ictal activation of neuronal networks that involve the insula.Our case may add information to the knowledge concerning ecstatic seizures.http://www.sciencedirect.com/science/article/pii/S2589986420300484Ecstatic seizuresGelastic seizuresEpilepsyHamartomaHypothalamus |
| spellingShingle | Kenney Roy Roodakker Bisrat Ezra Helena Gauffin Francesco Latini Maria Zetterling Shala Berntsson Anne-Marie Landtblom Ecstatic and gelastic seizures related to the hypothalamus Epilepsy & Behavior Reports Ecstatic seizures Gelastic seizures Epilepsy Hamartoma Hypothalamus |
| title | Ecstatic and gelastic seizures related to the hypothalamus |
| title_full | Ecstatic and gelastic seizures related to the hypothalamus |
| title_fullStr | Ecstatic and gelastic seizures related to the hypothalamus |
| title_full_unstemmed | Ecstatic and gelastic seizures related to the hypothalamus |
| title_short | Ecstatic and gelastic seizures related to the hypothalamus |
| title_sort | ecstatic and gelastic seizures related to the hypothalamus |
| topic | Ecstatic seizures Gelastic seizures Epilepsy Hamartoma Hypothalamus |
| url | http://www.sciencedirect.com/science/article/pii/S2589986420300484 |
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