Bilateral Tongue Bite during Epileptic Seizure: Nomenclature and Mechanism

Review Article

Austin J Neurol Disord Epilepsy. 2014;1(1): 2.

Bilateral Tongue Bite during Epileptic Seizure: Nomenclature and Mechanism

Surya N Gupta1*, Vikash S Gupta2

1Section of Child Neurology, Associated Professor, Pediatric Neurology, CAMC, Charleston, West Virginia, USA

2Texila American University, Woolford Ave, Georgetown, Guyana

*Corresponding author: Surya N. Gupta, Professor, Pediatric Neurology,, 415 Morris Street, Suite 300, Charleston, WV 25301, USA

Received: August 27, 2014; Accepted: September 26, 2014; Published: September 29, 2014

Keywords

Tongue Biting; Epileptic Seizure; Puncture Wound

Unilateral tongue bite is a well known phenomenon during an epileptic event. This may occur in the absence of a demonstrable cerebral lesion. We report the first case of bilateral tongue bite during seizure in a patient with left parietal arteriovenous malformation. We discuss its significance, nomenclature, and mechanism. A 15-year-old male with the diagnosis of the left parietal arteriovenous malformation presented with new onset partial seizure with secondary generalization. His mother reported blood on his face which she thought might be due to facial injury. Examination of his tongue revealed bilateral tongue bite (Figure). His neurological examination including cutaneous sensation and the electroencephalogram both were normal.

Citation: Gupta SN, Gupta VS. Bilateral Tongue Bite during Epileptic Seizure: Nomenclature and Mechanism. Austin J Neurol Disord Epilepsy. 2014;1(1): 2. ISSN:2472-3711