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Paroxysmal, rhythmic lingual movements and chronic epilepsy

Department of Neurology, Uniformed Services University of the Health Sciences, Bethesda, MD, and the Neurology Service, Walter Reed Army Medical Center, Washington, DC.

Paroxysmal and rhythmic lingual movements were observed in three children during a study designed to investigate epileptiform movements of oropharyngeal muscles in patients with chronic epilepsy. The movements were confined to the tongue, occurred mainly during sleep, and were observed again in two children 7 and 18 months later. These movements corresponded to episodic desynchronization of the electroencephalogram and were attributed to an unusual form of subcortical seizures.

Address correspondence and reprint requests to Dr. Jabbari, P.O. Box 310, Walter Reed Army Medical Center, Washington, DC 20012.

Accepted for publication Accepted for publication January 20, 1981.