{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T20:29:52Z","timestamp":1786739392605,"version":"build-2736575974"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Ictal bruxism (IB) is a rare oro-alimentary automatism in focal seizures. We report a series of six patients with IB in drug-resistant temporal lobe epilepsy (TLE) treated subsequently with temporal lobectomy. All patients had ictal teeth grinding with semiological features, suggestive of temporal lobe origin. Ictal electroencephalogram (EEG) onset showed artifacts corresponding to bruxism; one patient had a \u201ccheckerboard\u201d pattern of EEG artifacts corresponding with lateral jaw movements. Five patients had a lesion in the mesial temporal lobe, while one patient had a neocortical temporal lobe lesion. Right temporal localization was observed in five, while one patient had left temporal localization. At the latest post-surgery follow-up of 3 to 14 years (mean 8.83 \u00b1 3.53 years), all patients were seizure-free. IB is an under-recognized ictal phenomenon of TLE representing oro-mandibular automatisms involving the limbic networks. It is a sign of ictal localization to the temporal lobe but not a lateralizing sign.<\/jats:p>","DOI":"10.4103\/aian.aian_814_25","type":"journal-article","created":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T06:00:07Z","timestamp":1770012007000},"page":"82-86","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Ictal Bruxism - A Sign of Temporal Lobe Ictal Localization: A Case Series"],"prefix":"10.4103","volume":"29","author":[{"given":"Sita","family":"Jayalakshmi","sequence":"first","affiliation":[{"name":"Department of Neurology, Krishna Institute of Medical Sciences, Secunderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anuja","family":"Patil","sequence":"additional","affiliation":[{"name":"Department of Neurology, Krishna Institute of Medical Sciences, Secunderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dhrumil","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Neurology, Krishna Institute of Medical Sciences, Secunderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mihir","family":"Parekh","sequence":"additional","affiliation":[{"name":"Department of Neurology, Krishna Institute of Medical Sciences, Secunderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sudhindra","family":"Vooturi","sequence":"additional","affiliation":[{"name":"Department of Neurology, Krishna Institute of Medical Sciences, Secunderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manas","family":"Panigrahi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Krishna Institute of Medical Sciences, Secunderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1,31]]},"reference":[{"key":"R1-20260420","first-page":"751510","article-title":"Temporal lobe epilepsy semiology","volume":"2012","author":"Blair","year":"2012","journal-title":"Epilepsy Res Treat"},{"key":"R2-20260420","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1017\/S0317167100007526","article-title":"Seizure semiology: Value in identifying seizure origin","volume":"35","author":"Jan","year":"2008","journal-title":"Can J Neurol Sci"},{"key":"R3-20260420","doi-asserted-by":"crossref","first-page":"2306","DOI":"10.1212\/WNL.62.12.2306","article-title":"Rhythmic teeth grinding induced by temporal lobe seizures","volume":"62","author":"Meletti","year":"2004","journal-title":"Neurology"},{"key":"R4-20260420","doi-asserted-by":"crossref","first-page":"e727","DOI":"10.1212\/CPJ.0000000000000792","article-title":"Bruxism: A rare, nonlateralizing temporal lobe ictal phenomenon","volume":"11","author":"Doshi","year":"2021","journal-title":"Neurol Clin Pract"},{"key":"R5-20260420","doi-asserted-by":"crossref","first-page":"1429","DOI":"10.1016\/j.sleep.2015.05.024","article-title":"Ictal bruxism treated with temporal lobectomy","volume":"16","author":"Guaita","year":"2015","journal-title":"Sleep Med"},{"key":"R6-20260420","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1002\/epd2.20053","article-title":"Ictal bruxism in temporal lobe epilepsy with hippocampal sclerosis","volume":"25","author":"Jayalakshmi","year":"2023","journal-title":"Epileptic Disord"},{"issue":"Suppl 3","key":"R7-20260420","doi-asserted-by":"crossref","first-page":"s225","DOI":"10.1007\/s10072-005-0492-8","article-title":"Central pattern generators for a common semiology in fronto-limbic seizures and in parasomnias. A neuroethologic approach","volume":"26","author":"Tassinari","year":"2005","journal-title":"Neurol Sci"},{"key":"R8-20260420","article-title":"Ictal bruxism, the Khalil checkerboard sign","author":"Kelly","year":"2021","journal-title":"Poster presented at: AES"},{"key":"R9-20260420","doi-asserted-by":"crossref","first-page":"669","DOI":"10.1212\/WNL.53.4.669","article-title":"EEG checkerboard pattern of bruxism","volume":"53","author":"Hirsch","year":"1999","journal-title":"Neurology"}],"container-title":["Annals of Indian Academy of Neurology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aian.aian_814_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T19:28:37Z","timestamp":1786735717000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aian.aian_814_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/aian.aian_814_25","relation":{},"ISSN":["0972-2327","1998-3549"],"issn-type":[{"value":"0972-2327","type":"print"},{"value":"1998-3549","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-08-11","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-23","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}