1043-3155 Pediatr Neurol Briefs pedneurbriefs Pediatr Neurol Briefs Pediatric Neurology Briefs Pediatr Neurol Briefs 2166-6482 1043-3155 2166-3155 Pediatric Neurology Briefs Publishers Chicago, IL, USA PNB-24-64 10.15844/pedneurbriefs-24-8-8 Seizure Disorders Neurology Pediatrics Nervous System Diseases Child Development Brain Diseases Neurosurgery Child Infant Dachristic Seizures with Left Mesial Temporal Sclerosis and During Wada Test http://orcid.org/0000-0002-0173-7931 Millichap J. Gordon MD 1 2 * Division of Neurology, Children's Memorial Hospital, Chicago, IL Departments of Pediatrics and Neurology, Northwestern University Feinberg School of Medicine, Chicago, IL Correspondence: Dr. J. Gordon Millichap, E-mail: jgmillichap@northwestern.edu 08 2010 01 01 2016 24 8 64 64 Copyright: © 2010 The Author(s) 2010 This work is licensed under the Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Crying with left temporal lobe seizures and Wada testing

Dachristic seizures are characterized by ictal crying during complex partial seizures expressed as an unconscious behavior without sadness.

 Epilepsy Monitoring Unit Mayo Clinic Hemisphere Language Dominance

Dachristic seizures are characterized by ictal crying during complex partial seizures expressed as an unconscious behavior without sadness. Researchers at the Epilepsy Monitoring Unit, Mayo Clinic, Jacksonville, FL, report a 32-year-old right-handed woman with drug resistant seizures consisting of an aura followed by staring, and crying without sadness or lacrimation. She had a history of a complex febrile seizure and status epilepticus at 10 months of age, followed by afebrile seizures in adolescence. Presurgical MRI showed left mesial temporal sclerosis. Wada testing revealed left hemisphere language dominance, and left hemisphere injection of sodium methohexital produced immediate speech arrest, right hemiplegia, and crying characteristic of the habitual seizures. Concomitant EEG revealed left hemisphere slowing. Left amygdalohippocampectomy was followed by seizure freedom for more than 2 years on tapering doses of carbamazepine. [1]

COMMENT. In pediatric patients, hypothalamic hamartoma and temporal lobe epilepsy are the most common localization for dachristic seizures, a rare form of epilepsy. [2]

Tatum WO Loddenkemper T Crying with left temporal lobe seizures and Wada testing Epilepsy Behav 2010 Jul 18 3 303 5 10.1016/j.yebeh.2010.04.006 20554252 Luciano D Devinsky O Perrine K Crying seizures Neurology 1993 Oct 43 10 2113 7 8413975