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  • Title: Cingulate lesions presenting with epileptic spasms.
    Author: Schrader D, Langill L, Singhal A, Steinbok P, Connolly MB.
    Journal: J Clin Neurophysiol; 2009 Oct; 26(5):342-7. PubMed ID: 19752743.
    Abstract:
    PURPOSE: To describe the novel finding of epileptic spasms arising from a cingulate lesion. METHODS: We describe two children presenting with epileptic spasms who had lesions of the cingulate gyrus on MRI. RESULTS: In both patients, the lesions involved the midcingulate cortex. Seizures were characterized by prominent motor manifestations and resembled spasms. Both patients had a complete resolution of seizures after resection of their cingulate lesions. DISCUSSION: Cingulate seizures can present with a variety of behaviors including complex motor manifestations, vocalizations, and autonomic changes. Lesions in the midcingulate cortex can also produce epileptic spasms.
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