John Libbey Eurotext

Epileptic Disorders

The Educational Journal of the

Frontal lobe epilepsy manifesting with seizures consisting of isolated vocalization Volume 8, issue 4, December 2006

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  • Frontal Lobe epilepsy manifesting with seizure consisting of isolated vocalization

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Authors
Neurology Service, Hospital Pedro Hispano, Matosinhos, Portugal, Dept. of Neurology, University of Munich, München, Germany
  • Key words: seizure semiology, frontal lobe epilepsy, vocalization, frontal seizures
  • DOI : 10.1684/epd.2006.0046
  • Page(s) : 274-6
  • Published in: 2006

Vocalizations may occur in focal epileptic seizures, which typically arise from frontal and temporal regions. They are commonly associated with other motor phenomena such as automatisms, tonic posturing, or head version. We report on a patient whose seizures were documented by video-EEG monitoring, but in whom the observable ictal semiology consisted solely of a brief, monotonous vocalization. Ictal EEGs showed left frontal seizure patterns. Isolated vocalizations can constitute an ictal epileptic event and may be the only observable clinical manifestation of a left frontal lobe epilepsy. [Published with video sequences]