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A case of frontal lobe seizures with 'dancing‐like' semiology.

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Title: A case of frontal lobe seizures with 'dancing‐like' semiology.
Authors: Atanasio, Giorgia (AUTHOR), Germanò, Antonio (AUTHOR), Granata, Francesca (AUTHOR), Tomaiuolo, Francesco (AUTHOR), Labate, Angelo (AUTHOR)
Source: European Journal of Neurology. Sep2024, Vol. 31 Issue 9, p1-3. 3p.
Subjects: Perfusion magnetic resonance imaging, Vagus nerve stimulation, Frontal lobe, Cerebral circulation, Partial epilepsy, Electronography
Abstract: Background and purpose: 'Dancing‐like' semiology is extremely rare and described in few case reports. It is characterized by rhythmic, oscillatory movements of the pelvis and/or limbs during which the subject appears to be dancing. It has been associated with both the frontal and temporal epileptic zone; however, the possible network involved in these fascinating seizures is unclear. Methods: The case of a 45‐year‐old woman suffering from drug‐resistant focal epilepsy with multi‐day seizures of bizarre semiology is described. A structural and perfusion magnetic resonance imaging study (interictal and peri‐ictal) and video‐electroencephalograms were carried out, and several home videos were employed. A vagal stimulator was implanted. Results: Home videos documented the 'dancing' semiology of seizures better than video‐ electroencephalogram recordings. The imaging study revealed a focal frontal polymicrogyria with a peri‐ictal cerebral blood flow increase at the perisylvian lesion foci. The combination of add‐on cenobamate and vagal nerve stimulation resulted in complete seizure freedom. Conclusion: The unusual and complex dancing‐like semiology observed during our patient's seizures adds to the repertoire of fascinating complex motor manifestations of frontal lobe epilepsy. [ABSTRACT FROM AUTHOR]
Copyright of European Journal of Neurology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Group: Ti
  Data: A case of frontal lobe seizures with 'dancing‐like' semiology.
– Name: Author
  Label: Authors
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  Data: <searchLink fieldCode="AR" term="%22Atanasio%2C+Giorgia%22">Atanasio, Giorgia</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Germanò%2C+Antonio%22">Germanò, Antonio</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Granata%2C+Francesca%22">Granata, Francesca</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tomaiuolo%2C+Francesco%22">Tomaiuolo, Francesco</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Labate%2C+Angelo%22">Labate, Angelo</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22European+Journal+of+Neurology%22">European Journal of Neurology</searchLink>. Sep2024, Vol. 31 Issue 9, p1-3. 3p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Perfusion+magnetic+resonance+imaging%22">Perfusion magnetic resonance imaging</searchLink><br /><searchLink fieldCode="DE" term="%22Vagus+nerve+stimulation%22">Vagus nerve stimulation</searchLink><br /><searchLink fieldCode="DE" term="%22Frontal+lobe%22">Frontal lobe</searchLink><br /><searchLink fieldCode="DE" term="%22Cerebral+circulation%22">Cerebral circulation</searchLink><br /><searchLink fieldCode="DE" term="%22Partial+epilepsy%22">Partial epilepsy</searchLink><br /><searchLink fieldCode="DE" term="%22Electronography%22">Electronography</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background and purpose: 'Dancing‐like' semiology is extremely rare and described in few case reports. It is characterized by rhythmic, oscillatory movements of the pelvis and/or limbs during which the subject appears to be dancing. It has been associated with both the frontal and temporal epileptic zone; however, the possible network involved in these fascinating seizures is unclear. Methods: The case of a 45‐year‐old woman suffering from drug‐resistant focal epilepsy with multi‐day seizures of bizarre semiology is described. A structural and perfusion magnetic resonance imaging study (interictal and peri‐ictal) and video‐electroencephalograms were carried out, and several home videos were employed. A vagal stimulator was implanted. Results: Home videos documented the 'dancing' semiology of seizures better than video‐ electroencephalogram recordings. The imaging study revealed a focal frontal polymicrogyria with a peri‐ictal cerebral blood flow increase at the perisylvian lesion foci. The combination of add‐on cenobamate and vagal nerve stimulation resulted in complete seizure freedom. Conclusion: The unusual and complex dancing‐like semiology observed during our patient's seizures adds to the repertoire of fascinating complex motor manifestations of frontal lobe epilepsy. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of European Journal of Neurology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1111/ene.16348
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        Text: English
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      – SubjectFull: Frontal lobe
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      – SubjectFull: Cerebral circulation
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      – SubjectFull: Electronography
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            NameFull: Atanasio, Giorgia
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            NameFull: Germanò, Antonio
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            NameFull: Granata, Francesca
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              M: 09
              Text: Sep2024
              Type: published
              Y: 2024
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