title: Toothbrush-thinking seizures.
abstract: Seizures associated with toothbrushing have been reported in patients with precentral or postcentral partial epilepsy. Seizures precipitated by thinking have been described in patients with idiopathic generalized epilepsy. We report a patient with intractable partial epilepsy in which seizures were induced both by toothbrushing, and by seeing or thinking about toothbrush and toothpaste. Video-EEG analysis revealed a left temporal lobe origin for these reflex seizures. We discuss how complex multimodal stimuli may trigger these reflex seizures.
authors.affiliation: Epilepsy Unit, AP-HP, Pitié-Salpêtrière Hospital, Paris, France. vincent.navarro@psl.aphp.fr
authors.forename: Vincent
authors.initials: V
authors.lastname: Navarro
authors.forename: Claude
authors.initials: C
authors.lastname: Adam
authors.forename: Claire
authors.initials: C
authors.lastname: Petitmengin
authors.forename: Michel
authors.initials: M
authors.lastname: Baulac
mesh_terms: D004569:Electroencephalography / Q000379:methods / Q000706:statistics & numerical data; D004828:Epilepsies, Partial / Q000175:diagnosis / Q000209:etiology / Q000523:psychology; D020195:Epilepsy, Reflex / Q000175:diagnosis / Q000209:etiology* / Q000523:psychology; D004833:Epilepsy, Temporal Lobe / Q000175:diagnosis / Q000209:etiology / Q000523:psychology; D007839:Functional Laterality / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D013850:Thinking / Q000502:physiology; D014099:Toothbrushing / Q000009:adverse effects / Q000523:psychology*; D014100:Toothpastes / Q000009:adverse effects; D014743:Videotape Recording
chemical_list: D014100:Toothpastes