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Epileptic monocular nystagmus and ictal diplopia as cortical and subcortical dysfunction.

Schulz R, Tomka-Hoffmeister M, Woermann FG, Hoppe M, Schittkowski MP, Ebner A, Bien CG - Epilepsy Behav Case Rep (2013)

Bottom Line: Interictal neuroophthalmological examination showed several beats of a monocular nystagmus and a spasm of the contralateral eye.An exclusively ictal monocular epileptic nystagmus could be an argument for an exclusively cortical involvement in monocular eye movement control.The interictal findings in our patient, however, argue for an irregular ictal activation of both the cortical frontal eye field and the brainstem.

View Article: PubMed Central - PubMed

Affiliation: Epilepsie-Zentrum Bethel, Krankenhaus Mara, Maraweg 21, D-33617 Bielefeld, Germany.

ABSTRACT
We present the case of a patient with ictal monocular nystagmus and ictal diplopia who became seizure-free after resection of a right frontal focal cortical dysplasia (FCD), type 2B. Interictal neuroophthalmological examination showed several beats of a monocular nystagmus and a spasm of the contralateral eye. An exclusively ictal monocular epileptic nystagmus could be an argument for an exclusively cortical involvement in monocular eye movement control. The interictal findings in our patient, however, argue for an irregular ictal activation of both the cortical frontal eye field and the brainstem.

No MeSH data available.


Related in: MedlinePlus

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f0010: Supplementary to Fig. 1.


Epileptic monocular nystagmus and ictal diplopia as cortical and subcortical dysfunction.

Schulz R, Tomka-Hoffmeister M, Woermann FG, Hoppe M, Schittkowski MP, Ebner A, Bien CG - Epilepsy Behav Case Rep (2013)

Supplementary to Fig. 1.
© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4150613&req=5

f0010: Supplementary to Fig. 1.
Bottom Line: Interictal neuroophthalmological examination showed several beats of a monocular nystagmus and a spasm of the contralateral eye.An exclusively ictal monocular epileptic nystagmus could be an argument for an exclusively cortical involvement in monocular eye movement control.The interictal findings in our patient, however, argue for an irregular ictal activation of both the cortical frontal eye field and the brainstem.

View Article: PubMed Central - PubMed

Affiliation: Epilepsie-Zentrum Bethel, Krankenhaus Mara, Maraweg 21, D-33617 Bielefeld, Germany.

ABSTRACT
We present the case of a patient with ictal monocular nystagmus and ictal diplopia who became seizure-free after resection of a right frontal focal cortical dysplasia (FCD), type 2B. Interictal neuroophthalmological examination showed several beats of a monocular nystagmus and a spasm of the contralateral eye. An exclusively ictal monocular epileptic nystagmus could be an argument for an exclusively cortical involvement in monocular eye movement control. The interictal findings in our patient, however, argue for an irregular ictal activation of both the cortical frontal eye field and the brainstem.

No MeSH data available.


Related in: MedlinePlus