Ictal swearing network confirmed by stereoencephalography: a case report

  • Huaqiang Zhang
  • Di Wang
  • Liankun Ren
  • Xiaotong Fan
  • Yongzhi Shan
  • Guoguang ZhaoEmail author
Case Report - Functional Neurosurgery - Epilepsy
Part of the following topical collections:
  1. Functional Neurosurgery – Epilepsy


Ictal swearing, characterized by episodic utterance of deistic, visceral and other taboo words and phrases, is a rare manifestation of epilepsy. Limited manifestation of that elucidate neural network about manifestation of. Here we report a 43-year-old right-handed man who has suffered from refractory epilepsy manifestation of ictal swearing. The stereoencephalography(SEEG) investigation located the seizure onset zone in left orbito-frontal cortex and the involvement of left orbito-frontal and right hippocampus in the propagation of epileptic activities. Surgical resection has made the patient seizure-free. The present case gives us better understanding of these ictal phenomena and helps to optimize the placement of SEEG electrodes in refractory epilepsy patient with ictal swearing.


Ictal swearing Epilepsy SEEG Orbitofrontal cortex 


Funding information

This work was funded by the Key Project with Capital Characteristics (Z161100000516008), the National Natural Science Foundation of China (81871009, 81801288) and the National Key R&D Program of China (2016YFC0103909).

Compliance with ethical standards

Patient consent

The patient has consented to the submission of the case report for submission to the journal.

Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2019

Authors and Affiliations

  • Huaqiang Zhang
    • 1
  • Di Wang
    • 2
  • Liankun Ren
    • 2
  • Xiaotong Fan
    • 1
  • Yongzhi Shan
    • 1
  • Guoguang Zhao
    • 1
    Email author
  1. 1.Department of Neurosurgery, Xuanwu Hospital, Beijing Institute of Brain DiseasesCapital Medical UniversityBeijingChina
  2. 2.Department of Neurology, Xuanwu HospitalCapital Medical UniversityBeijingChina

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