title: 'Tickling' seizures originating in the left frontoparietal region.
abstract: We report a 10-year-old boy with mild developmental delay and epilepsy with new events of right back tickling and emotional upset. These initially appeared behavioral, causing postulation of habit behaviors or psychogenic nonepileptic seizures. Several ictal and interictal EEGs were unrevealing. Continuous EEG revealed only poorly localized frontal ictal activity. Given that his clinical symptoms suggested a parietal localization, double-density EEG electrodes were placed to better localize the epileptogenic and symptomatogenic zones. These revealed evolution of left greater than right frontoparietal discharges consistent with seizures at the time of the attacks. Medical management has significantly reduced the patient's seizures.
authors: Rush University Medical Center, Department of Neurology, Epilepsy Section, 1725 West Harrison Street, Suite 885, Chicago, IL 60612, USA.
authors: Jessica J
authors: JJ
authors: Falco-Walter
authors: Rush University Medical Center, Department of Neurology, Epilepsy Section, 1725 West Harrison Street, Suite 885, Chicago, IL 60612, USA.
authors: Michael
authors: M
authors: Stein
authors: Rush University Medical Center, Department of Neurology, Epilepsy Section, 1725 West Harrison Street, Suite 885, Chicago, IL 60612, USA.
authors: Maggie
authors: M
authors: McNulty
authors: Rush University Medical Center, Department of Pediatrics, Section of Child Neurology, 1725 West Harrison Street, Suite 710, Chicago, IL 60612, USA.
authors: Lubov
authors: L
authors: Romantseva
authors: Rush University Medical Center, Department of Pediatrics, Section of Child Neurology, 1725 West Harrison Street, Suite 710, Chicago, IL 60612, USA.
authors: Peter
authors: P
authors: Heydemann
keywords: Behavioral stereotypy; CBT, cognitive–behavioral therapy; Frontal epilepsy; MEG, magnetoencephalography; PNES; PNES, psychogenic nonepileptic seizures; Parietal epilepsy; SISCOM, subtracted ictal spect coregistered to MRI brain; SSRI, selective serotonin reuptake inhibitor; Sensory seizures; Tickling; cEEG, continuous electroencephalogram