Abstract 1 E. Gardella, 1 F. Rondelli, 1 M. Stanzani Maserati, 1 G. Rubboli, 2 S. Francione, 2 L. Tassi, 3 R. Caterina, 3 M. Costa, 2 G. Lo Russo, 3 P. Ricci Bitti, and 1 C. Tassinari ( 1 Dept. of Neuroscience, Bellaria Hospital, University of Bologna, Italy , 2 Center of Epilepsy Surgery “C. Munari,” Niguarda Hospital, Milan, Italy , 3 Dept. of Psychology, University of Bologna, Italy ) Purpose: To investigate the emergence of emotional display during temporal versus frontal lobe seizures (TLS, FLS). Method: Three independent observers reviewed presurgical video-EEG recordings of 477 seizures, in 84 patients with drug-resistant epilepsy (45 temporal/39 frontal), analysing the topography of the ictal discharge and the ictal modifications of facial expression, suggesting emotions (FEE). The pattern of facial activation underwent FACS (facial action coding system) analysis. The presence of coherent emotional motor/acoustic behaviour and of a subjective feeling has been also investigated. Results: All the six fundamental emotions were observed, with the same muscular pattern of facial activation during FLS and TLS. Negative emotions, particularly fear, were most represented. The prevalence of FEE was similar in FLS (68%) versus TLS (67%); right-sided ictal discharge was observed more frequently (59%). Association of FEE with emotional motor/acoustic behaviours occurred in 21% of seizures and in 13% an emotional experience was referred. Despite the similar prevalence of ictal FEE in both genders, there was male predominance in facial display of rage and a female predominance in referring a subjective emotional feeling and/or in manifesting coherent motor behaviours related to FEE, especially in case of ictal fear. Conclusion: A coherent pattern of FEE and emotional behaviour can equally emerge during FLS and TLS, with a slight right prevalence of the ictal discharge, confirming the hemispheric right specialisation for emotion. Gender dimorphism expressing and/or referring fear and rage, could reflect either inborn or socio-behavioural differences.
Read full abstract