title: Ictal movements mimicking Islamic praying rituals: localizing value in a series of 12 patients.
abstract: The aim of this study was to determine the lateralizing value of the ictal praying gesture and of ictal religious speech in patients who are candidates for epilepsy surgery. We retrospectively searched video/EEG data of 1430 patients who were evaluated at an epilepsy center from 1999 to 2014. Twelve patients were found to have demonstrated ictal praying during their complex partial seizures. Among all patients, the ictal focus was in the right temporal region. Ictal behavior simulating prayer, which includes both hands as in the Islamic ritual tradition is a rare automatism that lateralizes the ictal focus.
authors.affiliation: Department of Neurology, Faculty of Medicine, Yildirim Beyazit University, Ankara, Turkey. Electronic address: gonulvrl@gmail.com.
authors.forename: Gonul
authors.initials: G
authors.lastname: Vural
authors.affiliation: Department of Neurology, Faculty of Medicine, Hacettepe University, Ankara, Turkey. Electronic address: irseltezer@yahoo.com.
authors.forename: F
authors.initials: F
authors.lastname: Irsel Tezer
authors.affiliation: Department of Neurology, Faculty of Medicine, Hacettepe University, Ankara, Turkey. Electronic address: serapsaygi@gmail.com.
authors.forename: Serap
authors.initials: S
authors.lastname: Saygi
mesh_terms: D001332:Automatism / Q000209:etiology*; D002562:Ceremonial Behavior; D003192:Compulsive Behavior; D004569:Electroencephalography; D004827:Epilepsy; D004833:Epilepsy, Temporal Lobe / Q000150:complications / Q000503:physiopathology* / Q000601:surgery; D005260:Female; D007839:Functional Laterality / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009068:Movement / Q000502:physiology*; D012067:Religion; D012189:Retrospective Studies; D013060:Speech; D014741:Video Recording
keywords: Ictal automatism; Ictal praying; Ictal religious speech; Islamic praying; Praying gesture; Temporal lobe epilepsy