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NEUROLOGY 1982;32:1284
© 1982 American Academy of Neurology

Embarrassment as the aura of a complex partial seizure

Orrin Devinsky, M.D., David A. Hafler, M.D. and Jonathan Victor, M.D., Ph.D.

Departments of Neurology, Memorial Sloan-Kettering Cancer Center, and Cornell University Medical College, New York, NY.

A man with a grade II astrocytoma in the medial frontal lobe exhibited complex partial seizures, with the aura being a feeling of extreme embarrassment. This previously unreported ictus suggests that an electric discharge in the prefrontal cortex may produce the opposite effect of prefrontal lesions, in which there is a lack of insight and an absence of the capacity for embarrassment.

Address correspondence and reprint requests to Dr. Jerome Posner, 1275 York Avenue, New York, NY 10021.

Accepted for publication April 21, 1982.







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