John Libbey Eurotext

Epileptic Disorders

The Educational Journal of the

Surgical treatment of extra-hypothalamic epilepsies presenting with gelastic seizures Volume 21, numéro 3, June 2019

Vidéo

  • Surgical treatment of extra-hypothalamic epilepsies presenting with gelastic seizures

Illustrations

  • Figure 1
  • Figure 2

Tableaux

Auteurs
1 Epilepsy Program, Department of Clinical Neurological Sciences, London Health Sciences Centre, University Hospital, London, ON, Canada
2 School of Medicine, Research and Innovation Centre of the Faculty of Health Sciences, Universidad Peruana de Ciencias Aplicadas, Lima, Peru
* Correspondence: David A. Steven London Health Sciences Centre, University Hospital, Room A10-323, 339 Windermere Road, London, ON, Canada
  • Mots-clés : epilepsy surgery, extra-hypothalamic, gelastic seizures, mirthful laughter, temporal lobe epilepsy
  • DOI : 10.1684/epd.2019.1076
  • Page(s) : 307-17
  • Année de parution : 2019

We provide an overview of the surgical outcome of extra-hypothalamic epilepsies with gelastic seizures based on an original case report and a summary of the literature. Twenty-two articles providing information on the outcome of resective surgery in 39 patients with extra-hypothalamic gelastic seizures from the temporal (19 patients) or frontal lobe (20 patients) were selected. We add another case of temporal lobe gelastic seizures to the literature with a video demonstrating the mirthful component of this patient's laughing seizures. Drug-refractory cases of gelastic seizures from the temporal or frontal lobes are amenable to surgical treatment following thorough investigation with imaging, as well as scalp and intracranial EEG.