{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,27]],"date-time":"2025-06-27T09:04:09Z","timestamp":1751015049827},"reference-count":17,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,7,19]],"date-time":"2022-07-19T00:00:00Z","timestamp":1658188800000},"content-version":"vor","delay-in-days":48,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Epileptic Disorders"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold><jats:italic>Objective<\/jats:italic><\/jats:bold>. The semiology of temporo\u2010basal epilepsy has rarely been analysed in the literature. In this paper, we report three patients with proven basal temporal epilepsy with somatomotor or somatosensory facial ictal semiology, highly suggestive of insulo\u2010opercular onset.<\/jats:p><jats:p><jats:bold><jats:italic>Methods<\/jats:italic><\/jats:bold>. The three patients had a temporobasal lesion and their drugresistant epilepsy was cured with resection of the lesion (follow\u2010up duration: 7\u201317 years). We reviewed the medical charts, non\u2010invasive EEG data as well as the stereoelectroencephalography (SEEG) performed in two patients. Quantitative analysis of ictal fast gamma activity was performed for one patient.<\/jats:p><jats:p><jats:bold><jats:italic>Results<\/jats:italic><\/jats:bold>. Early ictal features were orofacial, either somatomotor in two patients or ipsilateral somatosensory in one. The three patients had prior sensations compatible with a temporal lobe onset. Interictal and ictal EEG pointed to the temporal lobe. The propagation of the discharge to the insula and operculum before the occurrence of facial features was seen on SEEG. Facial features occurred 7\u201320 seconds after electrical onset. Quantitative analysis of six seizures in one patient confirmed the visual analysis, showing statistically significant fast gamma activity originating from basal areas and then propagating to insuloopercular regions after a few seconds.<\/jats:p><jats:p><jats:bold><jats:italic>Significance<\/jats:italic><\/jats:bold>. We report three cases of lesional temporo\u2010basal epilepsy responsible for orofacial semiology related to propagation of insulo\u2010opercular ictal discharge. In MRI\u2010negative patients with facial manifestations, this origin should be suspected when EEG is suggestive. These observations may contribute to our understanding of brain networks.<\/jats:p>","DOI":"10.1684\/epd.2022.1413","type":"journal-article","created":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T07:19:37Z","timestamp":1656659977000},"page":"517-530","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Somatomotor or somatosensory facial manifestations in patients with temporobasal epilepsies"],"prefix":"10.1002","volume":"24","author":[{"given":"Delphine","family":"Taussig","sequence":"first","affiliation":[{"name":"Universit\u00e9 Paris Saclay\u2010APHP, Neurophysiologie et Epileptologie, Le Kremlin Bic\u00eatre France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivier","family":"David","sequence":"additional","affiliation":[{"name":"Univ. Grenoble Alpes, Inserm, GIN, Grenoble Institut des Neurosciences 38000 Grenoble France"},{"name":"Aix Marseille Univ, Inserm, INS, Institut de Neurosciences des Syst\u00e8mes Marseille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Maria","family":"Petrescu","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Saclay\u2010APHP, Neurophysiologie et Epileptologie, Le Kremlin Bic\u00eatre France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anca","family":"Nica","sequence":"additional","affiliation":[{"name":"Service de Neurologie CHU de Rennes France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric","family":"Seigneuret","sequence":"additional","affiliation":[{"name":"Service de Neurochirurgie CHU de Grenoble France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georg","family":"Dorfm\u00fcller","sequence":"additional","affiliation":[{"name":"H\u00f4pital Fondation Rothschild Neurochirurgie p\u00e9diatrique Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"Choukri","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Saclay\u2010APHP, Neurochirurgie, Le Kremlin Bic\u00eatre France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nozar","family":"Aghakhani","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Saclay\u2010APHP, Neurochirurgie, Le Kremlin Bic\u00eatre France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Viviane","family":"Bouilleret","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Saclay\u2010APHP, Neurophysiologie et Epileptologie, Le Kremlin Bic\u00eatre France"},{"name":"Universit\u00e9 Paris\u2010Saclay, CEA, CNRS, Inserm, BioMaps Orsay France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,7,19]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/78.4.445"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/epi.16501"},{"key":"e_1_2_7_4_1","first-page":"609","volume-title":"Surgical treatment of the epilepsies","author":"Engel JJ"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/awr238"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.49.3.757"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1684\/epd.2020.1132"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1528-1167.2010.02537.x"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eplepsyres.2007.10.009"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1528-1157.1984.tb04157.x"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2005.062554"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/epi.13110"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ebr.2020.100387"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/epi.14011"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/cercor\/bhj038"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinph.2011.03.013"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.yebeh.2020.106964"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuroimage.2018.07.039"}],"container-title":["Epileptic Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1684\/epd.2022.1413","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,20]],"date-time":"2024-04-20T07:36:58Z","timestamp":1713598618000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1684\/epd.2022.1413"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6]]},"references-count":17,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022,6]]}},"alternative-id":["10.1684\/epd.2022.1413"],"URL":"https:\/\/doi.org\/10.1684\/epd.2022.1413","archive":["Portico"],"relation":{},"ISSN":["1294-9361","1950-6945"],"issn-type":[{"value":"1294-9361","type":"print"},{"value":"1950-6945","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,6]]},"assertion":[{"value":"2021-05-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-12-18","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-07-19","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}