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Case report| Volume 30, ISSUE 10, P1049-1055, November 15, 1991

Childhood obsessive-compulsive disorder and cingulate epilepsy

  • Bonnie Levin
    Correspondence
    Address reprint requests to Bonnie Levin, Ph.D., Department of Neurology. 1501 N.W. 9th Avenue, Miami, FL 33136.
    Affiliations
    From the Department of Neurology, University of Miami School of Medicine and Department of Neurology, Miami, Florida, USA

    Psychology, University of Miami School of Medicine and Department of Neurology, Miami, Florida, USA

    Seizure Unit, Miami Children's Hospital, Miami, Florida, USA
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  • Michael Duchowny
    Affiliations
    From the Department of Neurology, University of Miami School of Medicine and Department of Neurology, Miami, Florida, USA

    Psychology, University of Miami School of Medicine and Department of Neurology, Miami, Florida, USA

    Seizure Unit, Miami Children's Hospital, Miami, Florida, USA
    Search for articles by this author
Open AccessDOI:https://doi.org/10.1016/0006-3223(91)90124-5
Childhood obsessive-compulsive disorder and cingulate epilepsy
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      Abstract

      There are no reports of an association between obsessive-compulsive disorder and cingulate epilepsy in childhood. We report the behavioral, cognitive, and EEG findings in a young girl with medically resistant seizures and severe obsessive-compulsive symptomatology. Her Scalp EEG and neuropsychological test scores suggested right frontal lobe dysfunction. The intractability of her seizures and progressive intellectual and psychosocial deterioration prompted evaluation for excisional surgery. Intracranial EEG recording demonstrated a focal seizure origin in the right anterior cingulate gyrus. Cingulotomy resulted in freedom from seizures and significant improvement in her obsessive-compulsive symptoms.

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      Article info

      Publication history

      Received in revised form: June 10, 1991
      Received: March 8, 1991

      Identification

      DOI: https://doi.org/10.1016/0006-3223(91)90124-5

      Copyright

      © 1991 Published by Elsevier Inc.

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