Ictal biting injuries in the epilepsy monitoring unit, a cohort study of incidence and semiological significance

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Oral lacerations are widely recognized as potential complications of seizures. These are mostly minor injuries requiring some degree of pain control, but occasionally require repair or result in more serious complications [1,2]. Diagnostic value of ictal tongue biting has been extensively evaluated, demonstrating good positive predictive value of lateralized tongue-biting for epileptic seizure versus paroxysmal non-epileptic seizures [3,4,5].

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