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Auditory verbal hallucination can be evoked by prefrontal epileptic seizure

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机构： [1]Department of Neurology, Xuanwu Hospital Capital Medical University, Beijing 100053, China [2]Department of Neurology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing 102218, China [3]Epilepsy Center, Shanghai Deji Hospital, Qingdao University, Shanghai 200126, China

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Auditory verbal hallucinations (AVHs) have been reported in neocortical temporal epileptic seizures and have been considered highly associated with implication of auditory cortex by epileptic discharges or electrical stimulation. Herein, we report two rare frontal epilepsy cases in which AVHs featured the habitual seizures. The epileptogenic zones of these two patients were localized in the dorsal and orbitomedial prefrontal cortex, respectively by stereoelectroencephalography (SEEG) monitoring. Comparing with the AVHs in schizophrenia, we postulated that the phenomenological similarities between the two sets of AVHs imply homology in mechanisms. Ictal SEEG confirmed that the wide involvement of prefrontal-cingulate-auditory cortical network by low-voltage fast activity corresponded the occurrence with AVHs during frontal epileptic seizures. Electrical stimulation study of one of the two cases highlighted the causal role of prefrontal-cingulate cortex in the emergence of AVHs. Based on our clinical observation, SEEG findings, and electrical cortical stimulation, we supposed that wide implication of prefrontal-cingulate-auditory cortical network during epileptic seizure underlie the emergence of AVHs, and further hypothesized that AVHs could be yielded by transient deficit of self-monitoring for inner speech in focal epileptic seizures.Copyright © 2022 Elsevier Inc. All rights reserved.

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出版当年[2021]版：

大类 | 3 区医学

小类 | 3 区临床神经病学 3 区精神病学 4 区行为科学

最新[2023]版：

大类 | 3 区医学

小类 | 3 区行为科学 3 区精神病学 4 区临床神经病学

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出版当年[2020]版：

Q2 BEHAVIORAL SCIENCES Q3 PSYCHIATRY Q3 CLINICAL NEUROLOGY

最新[2023]版：

Q2 PSYCHIATRY Q2 BEHAVIORAL SCIENCES Q3 CLINICAL NEUROLOGY

影响因子： 2.3 最新[2023版] 2.5 最新五年平均 2.937 出版当年[2020版] 3.224 出版当年五年平均 2.508 出版前一年[2019版] 3.337 出版后一年[2021版]

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第一作者机构： [1]Department of Neurology, Xuanwu Hospital Capital Medical University, Beijing 100053, China

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通讯机构： [1]Department of Neurology, Xuanwu Hospital Capital Medical University, Beijing 100053, China [2]Department of Neurology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing 102218, China [*1]Department of Neurology, Xuanwu Hospital Capital Medical University, No 45, Changchun Street, Xicheng District, Beijing 100053, China [*2]Department of Neurology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Litang Road, Changping District, Beijing 102218, China

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