@article{66c565cb8d8c48eeaf1f336ace23649d,
title = "Ictal head roll: a seizure semiology from the anterior prefrontal lobe",
abstract = "Longstanding epilepsy can lead to modulation of cortical networks over time and unexpected seizure onset zones. Frontal lobe seizures, in particular, can have diverse semiologies and evolution patterns. We present a male patient with drug-resistant epilepsy secondary to severe traumatic brain injury who underwent bilateral stereo electroencephalography (SEEG) for surgical planning. SEEG localized an ictal circular head roll to the right anterior prefrontal region. This was followed by spread to the left orbitofrontal region and later the left amygdala and hippocampus, at which point a different semiology with behavioral arrest, lip smacking and oral automatisms began. This case, in which an ictal circular head roll was localized to the anterior prefrontal region, demonstrates the complexity of broad seizure networks that develop over time, leading to remote seizure spread.",
keywords = "anterior prefrontal region, drug-resistant epilepsy, ictal circular head, stereoelectroencephalography (SEEG)",
author = "Gabriela Tantillo and Lemus, {Hernan Nicolas} and Nathalie Jett{\'e} and Saadi Ghatan and Fedor Panov and Dina Bolden and Fields, {Madeline C.}",
note = "Funding Information: GT previously held shares in a diversified healthcare index‐exchange traded fund unrelated to this study (2019). FP has consulted for Zimmer‐Biomet and Neuropace. SG has received honoraria for educational activities on behalf of Monteris. NJ receives grant funding paid to her institution for grants unrelated to this work from NINDS (NIH U24NS107201, NIH IU54NS100064) and PCORI. She receives an honorarium for her work as an Associate Editor of . MF has received travel reimbursement for educational activities on behalf of Neuropace. DB and NL declare no conflicts of interest. Legend for video sequence Epilepsia Funding Information: N. Jette is the Icahn School of Medicine at Mount Sinai Bludhorn Professor of International Medicine. GT previously held shares in a diversified healthcare index-exchange traded fund unrelated to this study (2019). FP has consulted for Zimmer-Biomet and Neuropace. SG has received honoraria for educational activities on behalf of Monteris. NJ receives grant funding paid to her institution for grants unrelated to this work from NINDS (NIH U24NS107201, NIH IU54NS100064) and PCORI. She receives an honorarium for her work as an Associate Editor of Epilepsia. MF has received travel reimbursement for educational activities on behalf of Neuropace. DB and NL declare no conflicts of interest. Legend for video sequence The head roll begins with the first movement towards the left, then downward and around twice, lasting for about 5 seconds. This is followed by a brief abdominal thrust. About 10 seconds after the circular head roll, the patient displays behavioral arrest, lip smacking and hand automatisms. Key words for video research on www.epilepticdisorders.com Phenomenology: focal automatisms seizure Localisation: frontal lobe (right) Syndrome: drug resistant focal epilepsy Aetiology: post-traumatic A video accompanying this article is available at http://www.epilepticdisorders.com/medline.phtml?doi=10.1684/epd.2021.1367 The head roll begins with the first movement towards the left, then downward and around twice, lasting for about 5 seconds. This is followed by a brief abdominal thrust. About 10 seconds after the circular head roll, the patient displays behavioral arrest, lip smacking and hand automatisms. Key words for video research on www.epilepticdisorders.com Phenomenology: focal automatisms seizure Localisation: frontal lobe (right) Syndrome: drug resistant focal epilepsy Aetiology: post-traumatic A video accompanying this article is available at http://www.epilepticdisorders.com/medline.phtml?doi=10.1684/epd.2021.1367 Publisher Copyright: {\textcopyright} 2022 Epileptic Disorders",
year = "2022",
month = feb,
doi = "10.1684/epd.2021.1367",
language = "English",
volume = "24",
pages = "211--218",
journal = "Epileptic Disorders",
issn = "1294-9361",
publisher = "Wiley-Blackwell",
number = "1",
}