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A clinical evaluation of gelastic and dacrystic seizures: a multicenter study
Background Gelastic seizures are extremely rare, short-lasting, unprovoked, and uncontrollable laughing attacks. We conducted this retrospective evaluation to determine whether these symptoms, manifesting in different forms, such as cheerful laughter, laughing, smiling, and sobbing had any value in...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Thieme Revinter Publicações Ltda.
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9800159/ https://www.ncbi.nlm.nih.gov/pubmed/36580957 http://dx.doi.org/10.1055/s-0042-1758755 |
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author | Demir, Aylin Bican Öz, Başak Yılmaz Yıldız, Mustafa Onur Türk, Bengi Gül Tanrıverdi, Taner Bekar, Ahmet Yeni, Naz Bora, İbrahim |
author_facet | Demir, Aylin Bican Öz, Başak Yılmaz Yıldız, Mustafa Onur Türk, Bengi Gül Tanrıverdi, Taner Bekar, Ahmet Yeni, Naz Bora, İbrahim |
author_sort | Demir, Aylin Bican |
collection | PubMed |
description | Background Gelastic seizures are extremely rare, short-lasting, unprovoked, and uncontrollable laughing attacks. We conducted this retrospective evaluation to determine whether these symptoms, manifesting in different forms, such as cheerful laughter, laughing, smiling, and sobbing had any value in terms of etiology or localization. Methods A total of 31 patients who exhibited bouts of laughing or crying and who were under follow-up between 2000 and 2019 at tertiary epilepsy centers were included in the study. Laughing seizures were divided into three groups in terms of semiology (i.e., laughter with mirth, laughter without mirth, and smile). Dacrystic seizures were accompanied by some gelastic seizures and were divided into two groups in terms of semiology (i.e., weeping loudly [motor and voice-sobbing] and crying). Results Of the 27 patients with laughing seizures, 12 had seizures that manifested with smiling, 7 had seizures that manifested with laughing and mirth, and 8 had seizures that manifested with laughter without mirth. Dacrystic-gelastic seizures were observed in four patients, among whom 2 patients had crying and laughter without mirth and 2 patients had weeping loudly and laughter without mirth episodes. Conclusion Gelastic and dacrystic seizures often suggest hypothalamic hamartomas, in the literature. This rare ictal behavior can originate from different cortical locations and lesions of a different nature. However, we found that gelastic seizures with smiling were a more homogenous group with regard to location in the temporal lobe, which we aimed to show by evaluating the patients included in this study. |
format | Online Article Text |
id | pubmed-9800159 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Thieme Revinter Publicações Ltda. |
record_format | MEDLINE/PubMed |
spelling | pubmed-98001592023-01-09 A clinical evaluation of gelastic and dacrystic seizures: a multicenter study Demir, Aylin Bican Öz, Başak Yılmaz Yıldız, Mustafa Onur Türk, Bengi Gül Tanrıverdi, Taner Bekar, Ahmet Yeni, Naz Bora, İbrahim Arq Neuropsiquiatr Background Gelastic seizures are extremely rare, short-lasting, unprovoked, and uncontrollable laughing attacks. We conducted this retrospective evaluation to determine whether these symptoms, manifesting in different forms, such as cheerful laughter, laughing, smiling, and sobbing had any value in terms of etiology or localization. Methods A total of 31 patients who exhibited bouts of laughing or crying and who were under follow-up between 2000 and 2019 at tertiary epilepsy centers were included in the study. Laughing seizures were divided into three groups in terms of semiology (i.e., laughter with mirth, laughter without mirth, and smile). Dacrystic seizures were accompanied by some gelastic seizures and were divided into two groups in terms of semiology (i.e., weeping loudly [motor and voice-sobbing] and crying). Results Of the 27 patients with laughing seizures, 12 had seizures that manifested with smiling, 7 had seizures that manifested with laughing and mirth, and 8 had seizures that manifested with laughter without mirth. Dacrystic-gelastic seizures were observed in four patients, among whom 2 patients had crying and laughter without mirth and 2 patients had weeping loudly and laughter without mirth episodes. Conclusion Gelastic and dacrystic seizures often suggest hypothalamic hamartomas, in the literature. This rare ictal behavior can originate from different cortical locations and lesions of a different nature. However, we found that gelastic seizures with smiling were a more homogenous group with regard to location in the temporal lobe, which we aimed to show by evaluating the patients included in this study. Thieme Revinter Publicações Ltda. 2022-12-29 /pmc/articles/PMC9800159/ /pubmed/36580957 http://dx.doi.org/10.1055/s-0042-1758755 Text en Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit ( https://creativecommons.org/licenses/by/4.0/ ) https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Demir, Aylin Bican Öz, Başak Yılmaz Yıldız, Mustafa Onur Türk, Bengi Gül Tanrıverdi, Taner Bekar, Ahmet Yeni, Naz Bora, İbrahim A clinical evaluation of gelastic and dacrystic seizures: a multicenter study |
title | A clinical evaluation of gelastic and dacrystic seizures: a multicenter study |
title_full | A clinical evaluation of gelastic and dacrystic seizures: a multicenter study |
title_fullStr | A clinical evaluation of gelastic and dacrystic seizures: a multicenter study |
title_full_unstemmed | A clinical evaluation of gelastic and dacrystic seizures: a multicenter study |
title_short | A clinical evaluation of gelastic and dacrystic seizures: a multicenter study |
title_sort | clinical evaluation of gelastic and dacrystic seizures: a multicenter study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9800159/ https://www.ncbi.nlm.nih.gov/pubmed/36580957 http://dx.doi.org/10.1055/s-0042-1758755 |
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