Cingulate lesions presenting with epileptic spasms.
OBJECTIVE
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.


CONCLUSIONS
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.
Schrader
Dewi
D
Division of Pediatric Neurology, Department of Pediatrics, University of British Columbia and British Columbia's Children's Hospital, Vancouver, British Columbia, Canada.
Langill
Lisa
L
Singhal
Ash
A
Steinbok
Paul
P
Connolly
Mary B
MB
D000293:Adolescent; D002675:Child, Preschool; D004569:Electroencephalography; D004827:Epilepsy / Q000473:pathology* / Q000503:physiopathology* / Q000601:surgery; D005500:Follow-Up Studies; D006179:Gyrus Cinguli / Q000473:pathology* / Q000503:physiopathology* / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D016896:Treatment Outcome