Affiliation:
1. Department of Neurology Seth GS Medical College and KEM Hospital Acharya Donde Marg Mumbai 400012 Maharashtra India
Abstract
AbstractIctal kissing (IK) is a rare type of automatism observed during epileptic seizures. Despite its uncommon occurrence, understanding the underlying mechanisms, the role of emotions, and the level of consciousness during seizures with IK is essential in providing a comprehensive understanding of epilepsy. We describe five cases (.13%) of IK after performing a retrospective analysis of 3794 long‐term, ictal video‐EEGs from an epilepsy monitoring unit in Mumbai, India. Our patients with drug‐resistant epilepsy showed IK had a wide epileptogenic zone. We discuss the current hypotheses on the mechanisms behind IK, the involvement of temporal lobe structures, and the implications of awareness during seizures. The review concludes by suggesting future directions for research to elucidate the complex phenomenon of IK further.