Cephalic aura after frontal lobe resection

Yosuke Kakisaka, Lara Jehi, Rafeed Alkawadri, Zhong I. Wang, Rei Enatsu, John C. Mosher, Anne Sophie Dubarry, Andreas V. Alexopoulos, Richard C. Burgess

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)


A cephalic aura is a common sensory aura typically seen in frontal lobe epilepsy. The generation mechanism of cephalic aura is not fully understood. It is hypothesized that to generate a cephalic aura extensive cortical areas need to be excited. We report a patient who started to have cephalic aura after right frontal lobe resection. Magnetoencephalography (MEG) showed interictal spike and ictal change during cephalic aura, both of which were distributed in the right frontal region, and the latter involved much more widespread areas than the former on MEG sensors. The peculiar seizure onset pattern may indicate that surgical modification of the epileptic network was related to the appearance of cephalic aura. We hypothesize that generation of cephalic aura may be associated with more extensive cortical involvement of epileptic activity than that of interictal activity, in at least a subset of cases.

Original languageEnglish
Pages (from-to)1450-1452
Number of pages3
JournalJournal of Clinical Neuroscience
Issue number8
Publication statusPublished - 2014 Aug


  • Cephalic aura
  • Electroencephalography
  • Fast activity
  • Magnetoencephalography


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