Premium
Tooth‐brushing epilepsy: an SEEG study and surgical treatment
Author(s) -
Martinez Oscar,
Pacha María Sol,
Francesco María Laura De,
Miquelini Luis Ariel,
González Federico Sánchez
Publication year - 2020
Publication title -
epileptic disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.673
H-Index - 53
eISSN - 1950-6945
pISSN - 1294-9361
DOI - 10.1684/epd.2020.1184
Subject(s) - stereoelectroencephalography , medicine , epilepsy , somatosensory system , anesthesia , sensory system , lesion , sensory stimulation therapy , epilepsy surgery , neuroscience , psychology , surgery
Abstract We report a patient with reflex tooth‐brushing‐triggered epilepsy, associated with a post‐central lesion within the right somatosensory face area. Contralateral facial sensory and motor phenomena, associated with contralateral upper limb extension, were present at seizure onset after gingival stimulation, but seizures could also be induced by contact with solid food or liquids. Spontaneous seizures also were recorded. Secondary generalization was infrequent. Stereoelectroencephalography implantation was performed, with seizure recording and cortical/subcortical stimulation for mapping, to identify the precise extent of surgical resection. Complete postoperative control of epilepsy was achieved, accompanied by a mild and transient neurological deficit. [ Published with video sequence ].