Neurology
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Figures Only
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Correspondence:
Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Correspondence are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by D’Souza, W. J.
Right arrow Articles by Cook, M. J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by D’Souza, W. J.
Right arrow Articles by Cook, M. J.
Related Collections
Right arrow All Epilepsy/Seizures
Right arrow Epilepsy semiology
Right arrow Cortical localization
NEUROLOGY 2007;68:769-771
© 2007 American Academy of Neurology

Toothbrushing-induced epilepsy with structural lesions in the primary somatosensory area

W. J. D’Souza, FRACP, MPH, T. J. O’Brien, FRACP, MD, M. Murphy, FRACP, MD, N. M. Trost, FRANZCR and M. J. Cook, FRACP, MD

From the Departments of Neurology (W.J.D., M.J.C.), Neurosurgery (M.M.), and Radiology (N.M.T.), University of Melbourne, St Vincent’s Hospital; the Departments of Medicine and Surgery (T.J.O.), The Royal Melbourne Hospital, University of Melbourne; and the Department of Neurosciences (W.J.D.), The Alfred Hospital, Melbourne, Victoria, Australia.

Address correspondence and reprint requests to Dr. Wendyl D’Souza, The University of Melbourne, The Department of Neurology & Neurological Research, 5th Floor, The Daly Wing, St Vincent’s Hospital Melbourne, PO Box 2900, Fitzroy 3065, Melbourne, Victoria, Australia; e-mail: dsouzaw{at}iprimus.com.au

We report three patients with reflex toothbrushing-induced epilepsy associated with small circumscribed structural lesions in the primary somatosensory cortex in close proximity to the hand and speech motor areas. Sensory symptoms were observed at clinical onset with localizing focal ictal and interictal epileptiform discharges on EEG. These cases refine the localization, possible mechanisms of epileptogenesis, and classification of this reflex epilepsy.

Supported by The Royal Australasian College of Physicians Glaxo-Smith-Kline Fellowship in Neurology (W.J.D.).

Disclosure: The authors report no conflicts of interest.

Received July 4, 2006. Accepted in final form November 6, 2006.






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2007 by AAN Enterprises, Inc.