Skip Navigation LinksHome > October 2009 - Volume 26 - Issue 5 > Cingulate Lesions Presenting With Epileptic Spasms
Journal of Clinical Neurophysiology:
doi: 10.1097/WNP.0b013e3181baaacf
Original Article

Cingulate Lesions Presenting With Epileptic Spasms

Schrader, Dewi*; Langill, Lisa*; Singhal, Ash†; Steinbok, Paul†; Connolly, Mary B.*

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Abstract

Purpose: To describe the novel finding of epileptic spasms arising from a cingulate lesion.

Methods: We describe two children presenting with epileptic spasms who had lesions of the cingulate gyrus on MRI.

Results: In both patients, the lesions involved the midcingulate cortex. Seizures were characterized by prominent motor manifestations and resembled spasms. Both patients had a complete resolution of seizures after resection of their cingulate lesions.

Discussion: Cingulate seizures can present with a variety of behaviors including complex motor manifestations, vocalizations, and autonomic changes. Lesions in the midcingulate cortex can also produce epileptic spasms.

Copyright © 2009 American Clinical Neurophysiology Society

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