Özkara, ÇiğdemTaşkıran, EmineÇarpraz, İrem YıldırımBilir, ErhanAydoğdu, İbrahimDelil, ŞakirChassoux, Francine2023-04-052023-04-052016-09-23Özkara, Ç. vd. (2016). "Ictal kissing: Electroclinical features of an unusual ictal phenomenon". Seizure, 42, 44-48.1059-13111532-2688https://doi.org/10.1016/j.seizure.2016.09.013https://www.sciencedirect.com/science/article/pii/S1059131116301625http://hdl.handle.net/11452/32204Purpose: The study aimed to describe the electroclinical features of ictal kissing, an unusual behavior that may occur during focal seizures. Method: Twenty-five patients collected from four epilepsy centers and previously published reports were reviewed for their demographic, clinical, and electrophysiological features. Results: Sixteen of 25 patients were female. The mean age was 32.9 years (9.9-51 years) and the average age at seizure onset was 14.5 years. All seizures were localized to the temporal lobe (TL) and lateralized to right side in 17 patients, left side in 2 patients, and unclear in 6 patients. A total of 55 ictal video electroencephalograms (EEGs) were analyzed. There were other symptoms such as speaking, spitting, hugging, and oral and upper-extremity automatisms along with different types of ictal kissing behavior during the seizures. The median duration of all seizures was 106.7 +/- 73.73 s. Kissing occurred at a median time of 71 s (1-95 s) after the onset of seizure, and ictal epileptiform discharges usually involved TL during kissing episode. Conclusion: Ictal kissing is mainly associated with right TL and female gender, although association with left TL may also occurs, possibly related to the circuits involving temporo-insular structures.eninfo:eu-repo/semantics/openAccessNeurosciences & neurologyIctal kissingTemporal lobeLimbic sytemEpilepsyEmotionAutomatismTemporal-lobe epilepsyLateralizationStimulationSeizuresAdolescentAdultAutomatismChildDrug resistant epilepsyFemaleHumansMaleMiddle agedMouthSeizuresSex factorsSocial behaviorTemporal lobeYoung adultArticle0003880491000082-s2.0-8498981957544484227721082Clinical neurologyNeurosciencesEpilepsy; Partial Epilepsy; SemiologyAdolescentAdultArteriovenous malformationArticleAutomatismBehaviorCerebral artery diseaseChildClinical articleCortical dysplasiaDisease durationEEG abnormalityElectroencephalographyEpileptic auraEpileptic dischargeFemaleFluid intakeFocal epilepsyFrontal cortical gliosisGliosisHemispheric dominanceHippocampal sclerosisHistopathologyHuggingHumanIctal kissingMaleMotor dysfunctionNeocortexNuclear magnetic resonance imagingPosterior cerebral arteryPriority journalSeizureSpeechSpittingSubcortical gliosisTemporal lobeTemporal lobe epilepsyUpper extremity automatismUpper limbVideorecordingAutomatismClinical trialDiagnostic imagingDrug resistant epilepsyMiddle agedMouthMulticenter studyPathophysiologyPsychologySex differenceSocial behaviorYoung adult