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    Examining the knowledge level and attitude toward epilepsy and the predictor variables among adolescents with epilepsy
    (Academic Press Inc Elsevier Science, 2024) Aydemir, Nuran; Sakman, Ozum Karya; Delil, Sakir; Ozkara, Cigdem
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    Ictal kissing: Electroclinical features of an unusual ictal phenomenon
    (W B Saunders Co Ltd, 2016) Ozkara, Cigdem; Taskiran, Emine; Carpraz, Irem Yildirim; Bilir, Erhan; Demir, Aylin Bican; Bora, Ibrahim; Aydogdu, Ibrahim; Delil, Sakir; Chassoux, Francine
    Purpose: 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. (C) 2016 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.