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Tongue biting

MedGen UID:
537056
•Concept ID:
C0241424
•
Mental or Behavioral Dysfunction
Synonyms: Biting of oral mucosa - tongue; Biting of Tongue; Tongue Biting
SNOMED CT: Tongue biting (235036003); Biting of oral mucosa - tongue (235036003)

Definition

Clamping of the teeth on the tongue, as can accompany a seizure. (ACC-AHA) [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVTongue biting

Professional guidelines

PubMed

Tetanus: pathophysiology, treatment, and the possibility of using botulinum toxin against tetanus-induced rigidity and spasms.
Hassel B
Toxins (Basel) 2013 Jan 8;5(1):73-83. doi: 10.3390/toxins5010073. PMID: 23299659Free PMC Article
Value of tongue biting in the differential diagnosis between epileptic seizures and syncope.
Brigo F, Nardone R, Bongiovanni LG
Seizure 2012 Oct;21(8):568-72. Epub 2012 Jul 6 doi: 10.1016/j.seizure.2012.06.005. PMID: 22770819
Seizures: assessment and management in the emergency unit.
Smith PE, Cossburn MD
Clin Med (Lond) 2004 Mar-Apr;4(2):118-22. doi: 10.7861/clinmedicine.4-2-118. PMID: 15139727Free PMC Article

Recent clinical studies

Etiology

Psychogenic nonepileptic seizures: clinical characteristics and outcome.
Volbers B, Walther K, Kurzbuch K, Erdmann L, Gollwitzer S, Lang JD, Dogan Onugoren M, Schwarz M, Schwab S, Hamer HM
Brain Behav 2022 May;12(5):e2567. Epub 2022 Apr 12 doi: 10.1002/brb3.2567. PMID: 35413160Free PMC Article
Clinical outcomes of lingual nerve repair.
Atkins S, Kyriakidou E
Br J Oral Maxillofac Surg 2021 Jan;59(1):39-45. Epub 2020 Aug 13 doi: 10.1016/j.bjoms.2020.07.005. PMID: 32800402
Dramatic presentations in psychogenic nonepileptic seizures.
Asadi-Pooya AA, Bahrami Z
Seizure 2019 Feb;65:144-147. Epub 2019 Jan 24 doi: 10.1016/j.seizure.2019.01.019. PMID: 30690408
Tetanus: pathophysiology, treatment, and the possibility of using botulinum toxin against tetanus-induced rigidity and spasms.
Hassel B
Toxins (Basel) 2013 Jan 8;5(1):73-83. doi: 10.3390/toxins5010073. PMID: 23299659Free PMC Article
The diagnostic utility of the ictal cry.
Elzawahry H, Do CS, Lin K, Benbadis SR
Epilepsy Behav 2010 Jul;18(3):306-7. doi: 10.1016/j.yebeh.2010.04.041. PMID: 20627816

Diagnosis

Chorea-acanthocytosis.
Rashid S, Malek N, Krommyda M
Pract Neurol 2024 May 29;24(3):223-225. doi: 10.1136/pn-2023-003981. PMID: 38290845
Psychogenic nonepileptic seizures: clinical characteristics and outcome.
Volbers B, Walther K, Kurzbuch K, Erdmann L, Gollwitzer S, Lang JD, Dogan Onugoren M, Schwarz M, Schwab S, Hamer HM
Brain Behav 2022 May;12(5):e2567. Epub 2022 Apr 12 doi: 10.1002/brb3.2567. PMID: 35413160Free PMC Article
Tongue biting in epileptic seizures and psychogenic events: an evidence-based perspective.
Brigo F, Storti M, Lochner P, Tezzon F, Fiaschi A, Bongiovanni LG, Nardone R
Epilepsy Behav 2012 Oct;25(2):251-5. Epub 2012 Oct 2 doi: 10.1016/j.yebeh.2012.06.020. PMID: 23041172
Value of tongue biting in the differential diagnosis between epileptic seizures and syncope.
Brigo F, Nardone R, Bongiovanni LG
Seizure 2012 Oct;21(8):568-72. Epub 2012 Jul 6 doi: 10.1016/j.seizure.2012.06.005. PMID: 22770819
Lateralizing signs during seizures in focal epilepsy.
Loddenkemper T, Kotagal P
Epilepsy Behav 2005 Aug;7(1):1-17. doi: 10.1016/j.yebeh.2005.04.004. PMID: 15975856

Therapy

Mycophenolate-Induced Posterior Reversible Encephalopathy Syndrome.
Khajuria B, Khajuria M, Agrawal Y
Am J Ther 2016 Jul-Aug;23(4):e1072-3. doi: 10.1097/MJT.0000000000000270. PMID: 25933141
Self-inflicted lesions of the mouth and lips in mentally retarded young subjects.
Siragusa M, Ferri R, Russo R, Lentini M, Schepis C
Eur J Dermatol 2013 Nov-Dec;23(6):843-8. doi: 10.1684/ejd.2013.2172. PMID: 24480580
Tetanus: pathophysiology, treatment, and the possibility of using botulinum toxin against tetanus-induced rigidity and spasms.
Hassel B
Toxins (Basel) 2013 Jan 8;5(1):73-83. doi: 10.3390/toxins5010073. PMID: 23299659Free PMC Article
Malocclusion associated with abnormal posture.
Yamaguchi H, Sueishi K
Bull Tokyo Dent Coll 2003 May;44(2):43-54. doi: 10.2209/tdcpublication.44.43. PMID: 12956088
Quantitative assessment of seizure severity for clinical trials: a review of approaches to seizure components.
Cramer JA, French J
Epilepsia 2001 Jan;42(1):119-29. doi: 10.1046/j.1528-1157.2001.19400.x. PMID: 11207795

Prognosis

Psychogenic nonepileptic seizures: clinical characteristics and outcome.
Volbers B, Walther K, Kurzbuch K, Erdmann L, Gollwitzer S, Lang JD, Dogan Onugoren M, Schwarz M, Schwab S, Hamer HM
Brain Behav 2022 May;12(5):e2567. Epub 2022 Apr 12 doi: 10.1002/brb3.2567. PMID: 35413160Free PMC Article
Ictal biting injuries in the epilepsy monitoring unit, a cohort study of incidence and semiological significance.
Dufresne D, Dubovec K, So NK, Kotagal P
Seizure 2019 Mar;66:39-41. Epub 2019 Feb 14 doi: 10.1016/j.seizure.2019.02.005. PMID: 30785054
Stuve-Wiedemann syndrome: is it underrecognized?
Yeşil G, Lebre AS, Santos SD, Güran O, Özahi II, Daire VC, Güran T
Am J Med Genet A 2014 Sep;164A(9):2200-5. Epub 2014 Jul 2 doi: 10.1002/ajmg.a.36626. PMID: 24988918
Tetanus: pathophysiology, treatment, and the possibility of using botulinum toxin against tetanus-induced rigidity and spasms.
Hassel B
Toxins (Basel) 2013 Jan 8;5(1):73-83. doi: 10.3390/toxins5010073. PMID: 23299659Free PMC Article
Lateralizing signs during seizures in focal epilepsy.
Loddenkemper T, Kotagal P
Epilepsy Behav 2005 Aug;7(1):1-17. doi: 10.1016/j.yebeh.2005.04.004. PMID: 15975856

Clinical prediction guides

Psychogenic nonepileptic seizures: clinical characteristics and outcome.
Volbers B, Walther K, Kurzbuch K, Erdmann L, Gollwitzer S, Lang JD, Dogan Onugoren M, Schwarz M, Schwab S, Hamer HM
Brain Behav 2022 May;12(5):e2567. Epub 2022 Apr 12 doi: 10.1002/brb3.2567. PMID: 35413160Free PMC Article
Clinical outcomes of lingual nerve repair.
Atkins S, Kyriakidou E
Br J Oral Maxillofac Surg 2021 Jan;59(1):39-45. Epub 2020 Aug 13 doi: 10.1016/j.bjoms.2020.07.005. PMID: 32800402
Dental occlusion as one cause of tinnitus.
Villaça Avoglio JL
Med Hypotheses 2019 Sep;130:109280. Epub 2019 Jun 15 doi: 10.1016/j.mehy.2019.109280. PMID: 31383322
Lateralizing signs during seizures in focal epilepsy.
Loddenkemper T, Kotagal P
Epilepsy Behav 2005 Aug;7(1):1-17. doi: 10.1016/j.yebeh.2005.04.004. PMID: 15975856
Traumatic macroglossia.
Saah D, Braverman I, Elidan J, Nageris B
Ann Otol Rhinol Laryngol 1993 Sep;102(9):729-30. doi: 10.1177/000348949310200915. PMID: 8373099

Recent systematic reviews

Tongue biting in epileptic seizures and psychogenic events: an evidence-based perspective.
Brigo F, Storti M, Lochner P, Tezzon F, Fiaschi A, Bongiovanni LG, Nardone R
Epilepsy Behav 2012 Oct;25(2):251-5. Epub 2012 Oct 2 doi: 10.1016/j.yebeh.2012.06.020. PMID: 23041172
Value of tongue biting in the differential diagnosis between epileptic seizures and syncope.
Brigo F, Nardone R, Bongiovanni LG
Seizure 2012 Oct;21(8):568-72. Epub 2012 Jul 6 doi: 10.1016/j.seizure.2012.06.005. PMID: 22770819

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