Ictal dancing-like semiology in frontal lobe epilepsy
- 20 Downloads
Dear Editor,
Dancing is a very rare seizure semiology and it is characterized by an integrated gestural motor behavior of rhythmic swinging of the arms and pelvis resembling a dance. Seven cases presenting with dancing-like ictal/post-ictal behavior have been previously reported, but the underlying mechanisms and neural networks of this complex and fascinating ictal behavior remain still not completely understood [1, 2, 3, 4]. The epileptogenic zone (EZ) has been previously hypothesized to be localized both in the temporal and in the frontal lobes. Some authors suggested that the dancing semiology seems to be not typical of temporal lobe epilepsy, since automatisms involving proximal muscles and complex behaviors, such as bicycling, are suggestive of frontal lobe epilepsy [1, 4, 5].
Notes
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
References
- 1.Bagla R, Khoury JS, Skidmore C (2009) Teaching video neuroimages: dancing epilepsy. Neurology 72:e114. https://doi.org/10.1212/WNL.0b013e3181a825f0 CrossRefPubMedPubMedCentralGoogle Scholar
- 2.Limotai C, Noivong P (2016) Ictal dancing associated with hippocampal sclerosis. Seizure 34:74–77. https://doi.org/10.1016/j.seizure.2015.12.007. CrossRefPubMedGoogle Scholar
- 3.Kim KT, Chu K, Lee SK (2017) Dancing with a seizure, a case report. BMC Neurol 17(1):16. https://doi.org/10.1186/s12883-017-0797-2. CrossRefPubMedPubMedCentralGoogle Scholar
- 4.Bartolomei F, McGonigal A, Guye M, Guedj E, Chauvel P (2007) Clinical and anatomic characteristics of humming and singing in partial seizures. Neurology 69:490–492. https://doi.org/10.1212/01.wnl.0000266637.71060.21 CrossRefPubMedGoogle Scholar
- 5.Bonini F, Mc Gonigal A, Trébuchon A et al (2014) Frontal lobe seizures: from clinical semeiology to localization. Epilepsia 55(2):264–277. https://doi.org/10.1111/epi.12490 CrossRefPubMedGoogle Scholar