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Crying seizures

From the Department of Neurology, New York University School of Medicine, The Hospital for Joint Diseases, New York, NY.

We report seven patients with crying during video-EEG-documented simple or complex partial seizures. During simple partial seizures, crying occurred with or without appropriate affect. Crying occurred postictally in two patients and was associated with persistent spiking in one of them. Six patients had ictal activity in the non-dominant hemisphere, maximal in the anteromesial temporal region in five and in the mesial frontal region in another. These cases support theories proposing a lateralization of emotion, with right hemisphere dominance for negative affective states.

Address correspondence and reprint requests to Dr. Daniel Luciano, Department of Neurology, New York University School of Medicine, The Hospital for Joint Diseases, 301 East 17th St., New York, NY 10003.

Received September 30, 1992. Accepted for publication in final form February 26, 1993.

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