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Wasade VS, Balki I, Bowyer SM, et al. Controllable yawning expressed as focal seizures of frontal lobe epilepsy. Epilepsy Behav Case Rep. 2016;6:61-3doi: 10.1016/j.ebcr.2016.08.005.
Wasade, V. S., Balki, I., Bowyer, S. M., Gaddam, S., Mohammadi-Nejad, A. R., Nazem-Zadeh, M. R., Soltanian-Zadeh, H., Zillgitt, A., & Spanaki-Varelas, M. (2016). Controllable yawning expressed as focal seizures of frontal lobe epilepsy. Epilepsy & behavior case reports, 661-3. https://doi.org/10.1016/j.ebcr.2016.08.005
Wasade, Vibhangini S, et al. "Controllable yawning expressed as focal seizures of frontal lobe epilepsy." Epilepsy & behavior case reports vol. 6 (2016): 61-3. doi: https://doi.org/10.1016/j.ebcr.2016.08.005
Wasade VS, Balki I, Bowyer SM, Gaddam S, Mohammadi-Nejad AR, Nazem-Zadeh MR, Soltanian-Zadeh H, Zillgitt A, Spanaki-Varelas M. Controllable yawning expressed as focal seizures of frontal lobe epilepsy. Epilepsy Behav Case Rep. 2016 Aug 26;6:61-3. doi: 10.1016/j.ebcr.2016.08.005. eCollection 2016. PMID: 27668178; PMCID: PMC5024315.
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Epilepsy Behav Case Rep. 2016 Aug 26;6:61-3. doi: 10.1016/j.ebcr.2016.08.005. eCollection 2016.

Controllable yawning expressed as focal seizures of frontal lobe epilepsy.

Epilepsy & behavior case reports

Vibhangini S Wasade, Indranil Balki, Susan M Bowyer, Shaila Gaddam, Ali-Reza Mohammadi-Nejad, Mohammad-Reza Nazem-Zadeh, Hamid Soltanian-Zadeh, Andrew Zillgitt, Marianna Spanaki-Varelas

Affiliations

  1. Department of Neurology, Henry Ford Health System, Detroit, MI 48202, USA.
  2. University of Toronto, Ontario M5S 1A1, Canada.
  3. Department of Radiology (Image Analysis Laboratory), Henry Ford Health System, Detroit, MI 48202, USA; Control and Intelligent Processing Center of Excellence (CIPCE), School of Electrical and Computer Engineering, University of Tehran, Tehran 14395-515, Iran.
  4. Department of Radiology (Image Analysis Laboratory), Henry Ford Health System, Detroit, MI 48202, USA.

PMID: 27668178 PMCID: PMC5024315 DOI: 10.1016/j.ebcr.2016.08.005

Abstract

Excessive yawning was described in some neurological conditions as part of periictal or ictal manifestations of epilepsy, most commonly temporal lobe. We present the first case of controllable yawning as a primary seizure semiology with dominant frontal lobe involvement in a 20-year-old man. Video electroencephalography recorded 8 yawning episodes accompanied with right arm movement correlating with rhythmic diffuse theta range activity with left hemispheric predominance. Magnetoencephalography coherence source imaging was consistent with persistent neuronal networks with areas of high coherence reliably present over the left lateral orbitofrontal region. Epileptogenic areas may have widespread networks involving the dominant frontal lobe in unique symptomatogenic areas.

Keywords: Frontal lobe epilepsy; Ictal; MEG-CSI; Seizure; VEEG; Yawning

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