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Pilomotor seizures in temporal lobe epilepsy: A case report with sequential changes in magnetic resonance imaging.

Kurita T, Sakurai K, Takeda Y, Kusumi I - Epilepsy Behav Case Rep (2013)

Bottom Line: Piloerection is a rare ictal manifestation of temporal lobe epilepsy.Reversible magnetic resonance imaging (MRI) abnormalities were visible in the right hippocampus, right uncus, and right amygdala.This case is significant in that we can follow sequential MRI from onset, and it is meaningful for considering the mesial temporal area as involved with piloerection.

View Article: PubMed Central - PubMed

Affiliation: Department of Psychiatry and Neurology, Hokkaido University Graduate School of Medicine, North 15, West 7, Kita-ku, Sapporo 060-8648, Japan.

ABSTRACT
Piloerection is a rare ictal manifestation of temporal lobe epilepsy. The case is a 38-year-old man with acute onset of repetitive pilomotor seizures. Lacking other symptoms implicating epileptic seizures, a month passed before he was diagnosed with epilepsy. Ictal electroencephalography revealed rhythmic waves in the right temporal area. Reversible magnetic resonance imaging (MRI) abnormalities were visible in the right hippocampus, right uncus, and right amygdala. The appropriate antiepileptic drug therapy made him seizure-free, but following MRI, he showed right hippocampal atrophy one year after seizure cessation. This case is significant in that we can follow sequential MRI from onset, and it is meaningful for considering the mesial temporal area as involved with piloerection.

No MeSH data available.


Related in: MedlinePlus

Electroencephalography displayed with a monopolar montage in the 10–20 system. Rhythmic discharge was apparent in the right temporal area (F8, T4, T6). Onset of ictal discharge was clinically associated with cold shivers and piloerection.
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f0010: Electroencephalography displayed with a monopolar montage in the 10–20 system. Rhythmic discharge was apparent in the right temporal area (F8, T4, T6). Onset of ictal discharge was clinically associated with cold shivers and piloerection.

Mentions: As epilepsy was suspected, an electroencephalography (EEG) was performed. The ictal EEG is presented in Fig. 2. Rhythmic wave activity was localized in the right temporal area and gradually became slow and irregular. Corresponding to the rhythmic wave burst, he felt chills and had goose bumps mainly in the bilateral arms and back. Interictal EEG showed no epileptiform activity.


Pilomotor seizures in temporal lobe epilepsy: A case report with sequential changes in magnetic resonance imaging.

Kurita T, Sakurai K, Takeda Y, Kusumi I - Epilepsy Behav Case Rep (2013)

Electroencephalography displayed with a monopolar montage in the 10–20 system. Rhythmic discharge was apparent in the right temporal area (F8, T4, T6). Onset of ictal discharge was clinically associated with cold shivers and piloerection.
© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4150676&req=5

f0010: Electroencephalography displayed with a monopolar montage in the 10–20 system. Rhythmic discharge was apparent in the right temporal area (F8, T4, T6). Onset of ictal discharge was clinically associated with cold shivers and piloerection.
Mentions: As epilepsy was suspected, an electroencephalography (EEG) was performed. The ictal EEG is presented in Fig. 2. Rhythmic wave activity was localized in the right temporal area and gradually became slow and irregular. Corresponding to the rhythmic wave burst, he felt chills and had goose bumps mainly in the bilateral arms and back. Interictal EEG showed no epileptiform activity.

Bottom Line: Piloerection is a rare ictal manifestation of temporal lobe epilepsy.Reversible magnetic resonance imaging (MRI) abnormalities were visible in the right hippocampus, right uncus, and right amygdala.This case is significant in that we can follow sequential MRI from onset, and it is meaningful for considering the mesial temporal area as involved with piloerection.

View Article: PubMed Central - PubMed

Affiliation: Department of Psychiatry and Neurology, Hokkaido University Graduate School of Medicine, North 15, West 7, Kita-ku, Sapporo 060-8648, Japan.

ABSTRACT
Piloerection is a rare ictal manifestation of temporal lobe epilepsy. The case is a 38-year-old man with acute onset of repetitive pilomotor seizures. Lacking other symptoms implicating epileptic seizures, a month passed before he was diagnosed with epilepsy. Ictal electroencephalography revealed rhythmic waves in the right temporal area. Reversible magnetic resonance imaging (MRI) abnormalities were visible in the right hippocampus, right uncus, and right amygdala. The appropriate antiepileptic drug therapy made him seizure-free, but following MRI, he showed right hippocampal atrophy one year after seizure cessation. This case is significant in that we can follow sequential MRI from onset, and it is meaningful for considering the mesial temporal area as involved with piloerection.

No MeSH data available.


Related in: MedlinePlus