Ritu Bagla, MD,
John S. Khoury, MD and
Christopher Skidmore, MD
From Thomas Jefferson University Hospital (R.B., J.S.K., C.S.) and Thomas Jefferson Medical College (C.S.), Philadelphia, PA.
Address correspondence and reprint requests to Dr. John Khoury, 900 Walnut St., Suite 200, Philadelphia, PA 19107 Jskhoury{at}gmail.com.
A 39-year-old, right-handed man with refractory complex partialseizures after head trauma at age 15 (figure 1) was admittedfor video-EEG monitoring. His girlfriend describes dancing movementswith unresponsiveness lasting a few minutes (see video). Theinterictal EEG was suggestive of a left temporal focus (figure 2);however, the ictal EEG was poorly localized and the overalllocalization was not determined. The dancing semiology is nottypical of temporal lobe epilepsy, since automatisms involvingproximal muscles and complex behaviors, such as bicycling, aresuggestive of frontal lobe epilepsy.1 Dancing is another behavioralmanifestation of epilepsy that has not been previously reported.
Disclosure: Dr. Skidmore has the following conflicts of interestto disclose for research support: UCB Pharma, Ortho McNeil,Schwarz, Medtronic, Neuropace, Ovation, Marinus, NIH. He isa consultant for the Amarin Corporation and a speaker for UCBPharma and Ortho McNeil.
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