Case Report: Ictal hypersalivation: a stereoelectroencephalography exploration
Epilepsy is a chronic neurological condition with various etiologies, and recurrent unprovoked seizures characterize it. Hypersalivation is a recognized symptom of insular-opercular epilepsies. A wide range of symptoms can occur during a seizure, including hypersalivation, autonomic responses, oroph...
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Frontiers Media S.A.
2025-02-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1535408/full |
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| author | Sumika Ouchida Armin Nikpour Armin Nikpour David Neville Wilson Greg Fairbrother Greg Fairbrother |
| author_facet | Sumika Ouchida Armin Nikpour Armin Nikpour David Neville Wilson Greg Fairbrother Greg Fairbrother |
| author_sort | Sumika Ouchida |
| collection | DOAJ |
| description | Epilepsy is a chronic neurological condition with various etiologies, and recurrent unprovoked seizures characterize it. Hypersalivation is a recognized symptom of insular-opercular epilepsies. A wide range of symptoms can occur during a seizure, including hypersalivation, autonomic responses, oropharyngeal sensations, visceral sensations, somatosensory disturbances, and emotional manifestations. In this case study, we examine a unique scenario of a patient who experienced predominantly salivary seizures. Hypersalivation, pill-rolling movements, and lip-smacking characterized these seizures. Importantly, the patient became seizure-free after undergoing radiofrequency thermocoagulation (RFTC) with the assistance of Stereoelectroencephalography (SEEG). Our discussion will focus on the treatment approach involving SEEG-guided RFTC and the careful identification of the brain cortex responsible for triggering excessive salivation during seizures. |
| format | Article |
| id | doaj-art-94ff5a31a8714ff0913bd18789f8dbbf |
| institution | DOAJ |
| issn | 2296-875X |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj-art-94ff5a31a8714ff0913bd18789f8dbbf2025-08-20T03:11:22ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2025-02-011210.3389/fsurg.2025.15354081535408Case Report: Ictal hypersalivation: a stereoelectroencephalography explorationSumika Ouchida0Armin Nikpour1Armin Nikpour2David Neville Wilson3Greg Fairbrother4Greg Fairbrother5Department of Neurology, Royal Prince Alfred Hospital, Sydney, NSW, AustraliaDepartment of Neurology, Royal Prince Alfred Hospital, Sydney, NSW, AustraliaFaculty of Medicine and Health, School of Health Sciences, The University of Sydney, Camperdown, NSW, AustraliaDepartment of Neurosurgery, Royal Prince Alfred Hospital, Sydney, NSW, AustraliaSydney Local Health District, Sydney, NSW, AustraliaFaculty of Medicine and Health, Susan Wakil School of Nursing and Midwifery, The University of Sydney, Sydney, NSW, AustraliaEpilepsy is a chronic neurological condition with various etiologies, and recurrent unprovoked seizures characterize it. Hypersalivation is a recognized symptom of insular-opercular epilepsies. A wide range of symptoms can occur during a seizure, including hypersalivation, autonomic responses, oropharyngeal sensations, visceral sensations, somatosensory disturbances, and emotional manifestations. In this case study, we examine a unique scenario of a patient who experienced predominantly salivary seizures. Hypersalivation, pill-rolling movements, and lip-smacking characterized these seizures. Importantly, the patient became seizure-free after undergoing radiofrequency thermocoagulation (RFTC) with the assistance of Stereoelectroencephalography (SEEG). Our discussion will focus on the treatment approach involving SEEG-guided RFTC and the careful identification of the brain cortex responsible for triggering excessive salivation during seizures.https://www.frontiersin.org/articles/10.3389/fsurg.2025.1535408/fullictalhypersalivationepilepsystereoelectroencephalographyradiofrequency thermocoagulation |
| spellingShingle | Sumika Ouchida Armin Nikpour Armin Nikpour David Neville Wilson Greg Fairbrother Greg Fairbrother Case Report: Ictal hypersalivation: a stereoelectroencephalography exploration Frontiers in Surgery ictal hypersalivation epilepsy stereoelectroencephalography radiofrequency thermocoagulation |
| title | Case Report: Ictal hypersalivation: a stereoelectroencephalography exploration |
| title_full | Case Report: Ictal hypersalivation: a stereoelectroencephalography exploration |
| title_fullStr | Case Report: Ictal hypersalivation: a stereoelectroencephalography exploration |
| title_full_unstemmed | Case Report: Ictal hypersalivation: a stereoelectroencephalography exploration |
| title_short | Case Report: Ictal hypersalivation: a stereoelectroencephalography exploration |
| title_sort | case report ictal hypersalivation a stereoelectroencephalography exploration |
| topic | ictal hypersalivation epilepsy stereoelectroencephalography radiofrequency thermocoagulation |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1535408/full |
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