Tooth‐brushing epilepsy: an SEEG study and surgical treatment

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 stimul...

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Bibliographic Details
Published in:	Epileptic disorders Vol. 22; no. 4; pp. 482 - 488
Main Authors:	Martinez, Oscar, Pacha, María Sol, Francesco, María Laura De, Miquelini, Luis Ariel, González, Federico Sánchez
Format:	Journal Article
Language:	English
Published:	Montrouge Wiley Subscription Services, Inc 01-08-2020
Subjects:	Convulsions & seizures Epilepsy facial somatosensory and motor areas reflex seizures Seizures tooth‐brushing induced seizure
Online Access:	Get full text
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Summary:	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].
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	1294-9361 1950-6945
DOI:	10.1684/epd.2020.1184