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Year : 2021  |  Volume : 69  |  Issue : 4  |  Page : 1040--1042

Ictal Smile and Fear In A Child With Refractory Epilepsy - An Interesting Electro Clinical Correlation

Sita Jayalakshmi1, Subrat Kumar Nanda1, Sudhindra Vooturi1, Rammohan Vadapalli2, Manas Panigrahi3 
1 Department of Neurology, Krishna Institute of Medical Sciences, Secunderabad, Telangana, India
2 Department of Radiology, Krishna Institute of Medical Sciences, Secunderabad, Telangana, India
3 Department of Neurosurgery, Krishna Institute of Medical Sciences, Secunderabad, Telangana, India

Correspondence Address:
Sita Jayalakshmi
Senior Consultant Neurologist, Krishna Institute of Medical Sciences, Minister Road, 1-8-31/1, Secunderabad - 500 003, Telangana
India

Ictal fear is a common manifestation with seizures originating from temporal lobe, orbitofrontal region and cingulate cortex. Ictal smile has been described in association with seizures from hypothalamus, cingulate cortex, lateral and prefrontal cortex. Isolated fear or ictal smile has been reported in various published reports in the past in patients with cingulate epilepsy. We report an unusual semiology with ictal smiling along with fear and preserved sensorium during the event, in a four-year-old child; Our hypothesis was that the ictal origin, most likely from the right mesial frontal or cingulate cortex. The child underwent resective surgery after multimodality evaluation and has been seizure free for 6 years post-surgery.


How to cite this article:
Jayalakshmi S, Nanda SK, Vooturi S, Vadapalli R, Panigrahi M. Ictal Smile and Fear In A Child With Refractory Epilepsy - An Interesting Electro Clinical Correlation.Neurol India 2021;69:1040-1042


How to cite this URL:
Jayalakshmi S, Nanda SK, Vooturi S, Vadapalli R, Panigrahi M. Ictal Smile and Fear In A Child With Refractory Epilepsy - An Interesting Electro Clinical Correlation. Neurol India [serial online] 2021 [cited 2021 Dec 3 ];69:1040-1042
Available from: https://www.neurologyindia.com/article.asp?issn=0028-3886;year=2021;volume=69;issue=4;spage=1040;epage=1042;aulast=Jayalakshmi;type=0