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Cingulate gyrus epilepsy
  1. Rob Powell1,
  2. Robert Elwes2,
  3. Khalid Hamandi3,
  4. Nandini Mullatti2
  1. 1 Department of Neurology, Morriston Hospital, Swansea, UK
  2. 2 Department of Neurology, King’s College London, London, UK
  3. 3 Department of Neurology, University Hospital of Wales, Cardiff, UK
  1. Correspondence to Dr Rob Powell, Department of Neurology, Morriston Hospital, Swansea, SA6 6NL, UK; robert.powell{at}wales.nhs.uk

Abstract

The cingulate gyrus is located above the corpus callosum and forms part of the limbic system. Cingulate gyrus epilepsy poses a diagnostic challenge, given its diverse and variable seizure semiology. We present two patients with seizures arising in the cingulate gyrus that highlight the electroclinical and imaging features of this rare form of epilepsy. Cingulate seizures can give a wide range of clinical manifestations, which relate to the underlying neuroanatomy and subdivisions of the cingulate cortex. Here, we review the semiology of cingulate epilepsy and how this relates to the location of seizure onset and patterns of propagation.

  • epilepsy
  • seizures
  • cingulate gyrus

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Footnotes

  • Contributors RP is the lead author and main contributor. The other authors have equally contributed to the manuscript and have read and approved it.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Commissioned. Externally peer reviewed by Mark Manford, Cambridge, UK, and Ley Sander, London, UK.

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