title: Ictal kissing behavior: neurological and psychodynamic overview.
abstract: This study is based on the psychodynamic and neurological analysis of three Turkish patients who displayed ictal kissing automatism during their seizures. To unveil the probable underlying causes of their kissing behaviors, all patients underwent psychiatric interviews after being evaluated by ictal video-EEG recordings. The group consisted of two females (ages 35 and 29) and one male (age 26). In addition to prominent oral automatisms, each patient also displayed behaviors of kissing or blowing kisses to individuals at close proximity. Seizures were related to the right temporal lobe in two patients and the left temporal lobe in one patient. Magnetic resonance imaging showed mesial temporal sclerosis in two of the patients (one left, one right) and was normal in one. According to the DSM-IV-TR criteria, each of the three patients also suffered from major depression, while the psychodynamic interviews revealed traumatic childhood histories and intense unfulfilled affective needs.
authors.affiliation: Istanbul University, Institute of Experimental Medicine, Department of Neuroscience, Istanbul, Turkey.
authors.forename: Emine
authors.initials: E
authors.lastname: Taşkıran
authors.forename: Mine
authors.initials: M
authors.lastname: Özmen
authors.forename: Özge
authors.initials: Ö
authors.lastname: Kılıc
authors.forename: Aslı
authors.initials: A
authors.lastname: Sentürk
authors.forename: Cigdem
authors.initials: C
authors.lastname: Özkara
mesh_terms: D000328:Adult; D001332:Automatism / Q000209:etiology*; D004569:Electroencephalography; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D011572:Psychoanalysis; D012640:Seizures / Q000150:complications* / Q000473:pathology / Q000523:psychology*; D013702:Temporal Lobe / Q000503:physiopathology
keywords: Automatism; Epilepsy; Ictal kissing