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Successful stereoelectroencephalography-guided radiofrequency thermocoagulation in the treatment of a patient with mesial frontal region-originated mirthful gelastic seizure.

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收录情况： ◇ SCIE

作者：

机构： [a]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, No. 45, Changchun Street, Xicheng District, Beijing 100053, China [b]School of Engineering Medicine, Beihang University, No. 37 Xueyuan Road, Haidian District, Beijing 100083, China [c]Department of Neurology, Xuanwu Hospital, Capital Medical University, No. 45, Changchun Street, Xicheng District, Beijing 100053, China [d]Beijing Institute for Brain Disorders, Capital Medical University, No. 10, West Tou Tiao, Outer You’an Men, Fengtai District, Beijing 100069, China

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DOI：

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关键词： Epilepsy Gelastic seizure Extra-hypothalamic Radiofrequency coagulation Stereoelectroencephalography

摘要：

Gelastic seizures (GS), characterized by automatic bouts of unnatural stereotyped laughter and commonly recognized as the hallmark of hypothalamic hamartoma, is rarely associated with cortical epileptogenic focus. Whether there is a dissociation of the motor program of laughter and the experience of mirth and the symptomatogenic zone for ictal laughter with or without mirth are still unclear. We report a patient with drug-resistant mirthful GS who receive a comprehensive investigation of stereoelectroencephalography recording and electrocortical stimulation. Mirthful GS were confirmed to originate from the mesial region of the right superior frontal gyrus, not involving the mesial temporal lobe structures. The patient has been entirely seizure-free after stereoelectroencephalography-guided radiofrequency thermocoagulation. We conclude that the superior frontal gyrus serves as the symptomatogenic zone of ictal laughter and GS with or without mirth share a common neural network.Copyright © 2021 Elsevier B.V. All rights reserved.

基金：

基金编号： 81871009,81801288 2016YFC0103909

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中科院(CAS)分区：

出版当年[2020]版：

大类 | 4 区医学

小类 | 4 区临床神经病学 4 区外科

最新[2023]版：

大类 | 4 区医学

小类 | 4 区临床神经病学 4 区外科

JCR分区：

出版当年[2019]版：

Q3 SURGERY Q4 CLINICAL NEUROLOGY

最新[2023]版：

Q2 SURGERY Q3 CLINICAL NEUROLOGY

影响因子： 1.8 最新[2023版] 1.8 最新五年平均 1.53 出版当年[2019版] 1.768 出版当年五年平均 1.672 出版前一年[2018版] 1.876 出版后一年[2020版]

第一作者：

第一作者机构： [a]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, No. 45, Changchun Street, Xicheng District, Beijing 100053, China

通讯作者：

通讯机构： [a]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, No. 45, Changchun Street, Xicheng District, Beijing 100053, China [d]Beijing Institute for Brain Disorders, Capital Medical University, No. 10, West Tou Tiao, Outer You’an Men, Fengtai District, Beijing 100069, China [*1]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, No. 45, Changchun Street, Xicheng District, Beijing 100053, China.

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Successful stereoelectroencephalography-guided radiofrequency thermocoagulation in the treatment of a patient with mesial frontal region-originated mirthful gelastic seizure.

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