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Neurology. 2009 June 2; 72(22): e114.
PMCID: PMC2690972

Teaching Video NeuroImages: Dancing epilepsy

Section Editor: Section Editor Mitchell S.V. Elkind, MD, MS

A 39-year-old, right-handed man with refractory complex partial seizures after head trauma at age 15 (figure 1) was admitted for video-EEG monitoring. His girlfriend describes dancing movements with unresponsiveness lasting a few minutes (see video). The interictal EEG was suggestive of a left temporal focus (figure 2); however, the ictal EEG was poorly localized and the overall localization was not determined. The dancing semiology is not typical of temporal lobe epilepsy, since automatisms involving proximal muscles and complex behaviors, such as bicycling, are suggestive of frontal lobe epilepsy.1 Dancing is another behavioral manifestation of epilepsy that has not been previously reported.

figure znl0220966440001
Figure 1 Fluid-attenuated inversion recovery coronal MRI revealed encephalomalacia and gliosis in the left frontal and right anterior temporal regions
figure znl0220966440002
Figure 2 Interictal EEG

Supplementary Material

[Data Supplement]

Notes

Address correspondence and reprint requests to Dr. John Khoury, 900 Walnut St., Suite 200, Philadelphia, PA 19107 moc.liamg@yruohksJ.

Supplemental data at www.neurology.org.

Disclosure: Dr. Skidmore has the following conflicts of interest to disclose for research support: UCB Pharma, Ortho McNeil, Schwarz, Medtronic, Neuropace, Ovation, Marinus, NIH. He is a consultant for the Amarin Corporation and a speaker for UCB Pharma and Ortho McNeil.

REFERENCE

1. Kotagal P, Arunkumar G, Hammel J, Mascha ED. Complex partial seizures of frontal lobe onset: statistical analysis of ictal semiology. Seizure 2003;12:268–281. [PubMed]

Articles from Neurology are provided here courtesy of American Academy of Neurology