Ictal laughter and crying: Should they be classified as automatisms?

Gelastic seizures (GS) describe ictal laughter and are associated with hypothalamic lesions, as well as other cortical areas. Dacrystic seizures (DS), characterized by ictal crying, also have been reported in hypothalamic lesions and focal epilepsy. We describe a young girl with drug resistant focal...

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Main Authors: Anna-Marieta Moise, Linda Leary, Lola C. Morgan, Alex M. Papanastassiou, C. Ákos Szabó
Format: Article
Language:English
Published: Elsevier 2017-01-01
Series:Epilepsy and Behavior Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213323216300597
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author Anna-Marieta Moise
Linda Leary
Lola C. Morgan
Alex M. Papanastassiou
C. Ákos Szabó
author_facet Anna-Marieta Moise
Linda Leary
Lola C. Morgan
Alex M. Papanastassiou
C. Ákos Szabó
author_sort Anna-Marieta Moise
collection DOAJ
description Gelastic seizures (GS) describe ictal laughter and are associated with hypothalamic lesions, as well as other cortical areas. Dacrystic seizures (DS), characterized by ictal crying, also have been reported in hypothalamic lesions and focal epilepsy. We describe a young girl with drug resistant focal dyscognitive seizures associated with gelastic and dacrystic features. However, neither laughter nor crying was correlated with a stereotyped electroencephalographic (EEG) pattern or involvement of a particular brain region. Additionally, based on the variety of epileptogenic foci associated with GS and DS in the literature, laughter and crying appear to represent ictal or peri-ictal automatisms.
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spelling doaj.art-c5771967b8214199a640daa1c92429a42022-12-22T00:50:40ZengElsevierEpilepsy and Behavior Case Reports2213-32322017-01-017C313310.1016/j.ebcr.2016.11.004Ictal laughter and crying: Should they be classified as automatisms?Anna-Marieta Moise0Linda Leary1Lola C. Morgan2Alex M. Papanastassiou3C. Ákos Szabó4Department of Neurology,University of Texas Health Science Center at San Antonio, San Antonio, TX, United StatesDepartment of Neurology,University of Texas Health Science Center at San Antonio, San Antonio, TX, United StatesDepartment of Neurology,University of Texas Health Science Center at San Antonio, San Antonio, TX, United StatesDepartment of Neurosurgery, University of Texas Health Science Center at San Antonio, San Antonio, TX, United StatesDepartment of Neurology,University of Texas Health Science Center at San Antonio, San Antonio, TX, United StatesGelastic seizures (GS) describe ictal laughter and are associated with hypothalamic lesions, as well as other cortical areas. Dacrystic seizures (DS), characterized by ictal crying, also have been reported in hypothalamic lesions and focal epilepsy. We describe a young girl with drug resistant focal dyscognitive seizures associated with gelastic and dacrystic features. However, neither laughter nor crying was correlated with a stereotyped electroencephalographic (EEG) pattern or involvement of a particular brain region. Additionally, based on the variety of epileptogenic foci associated with GS and DS in the literature, laughter and crying appear to represent ictal or peri-ictal automatisms.http://www.sciencedirect.com/science/article/pii/S2213323216300597EpilepsyGelastic seizuresDacrystic seizuresParietal lobeAutomatisms
spellingShingle Anna-Marieta Moise
Linda Leary
Lola C. Morgan
Alex M. Papanastassiou
C. Ákos Szabó
Ictal laughter and crying: Should they be classified as automatisms?
Epilepsy and Behavior Case Reports
Epilepsy
Gelastic seizures
Dacrystic seizures
Parietal lobe
Automatisms
title Ictal laughter and crying: Should they be classified as automatisms?
title_full Ictal laughter and crying: Should they be classified as automatisms?
title_fullStr Ictal laughter and crying: Should they be classified as automatisms?
title_full_unstemmed Ictal laughter and crying: Should they be classified as automatisms?
title_short Ictal laughter and crying: Should they be classified as automatisms?
title_sort ictal laughter and crying should they be classified as automatisms
topic Epilepsy
Gelastic seizures
Dacrystic seizures
Parietal lobe
Automatisms
url http://www.sciencedirect.com/science/article/pii/S2213323216300597
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