Right and left mesial temporal lobe seizures in one patient: Bona fide semiological, interictal, ictal, and MRI evidence

Abstract We present the case of a 36-year-old patient with bilateral independent manual automatisms associated with seizures coming independently from the left and right temporal lobes, as documented by surface EEG ictal recordings. An MRI showed evidence of bilateral mesial temporal sclerosis, more...

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Bibliographic Details
Published in:	Epilepsy & behavior Vol. 14; no. 2; pp. 418 - 420
Main Authors:	De Paola, Luciano, Silvado, Carlos, Souza, Luciana, Crippa, Ana, Twardowschy, Carlos Alexandre, Germiniani, Francisco, Mäder, Maria Joana, Palmini, André
Format:	Journal Article
Language:	English
Published:	United States Elsevier Inc 01-02-2009
Subjects:	Adult Bilateral onset Complex partial seizures Electroencephalography - methods Epilepsy, Temporal Lobe - pathology Epilepsy, Temporal Lobe - physiopathology Female Functional Laterality Humans Magnetic Resonance Imaging Mesial temporal sclerosis Neurology Temporal lobe epilepsy Temporal lobe epilepsy Complex partial seizures Bilateral onset Mesial temporal sclerosis
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Summary:	Abstract We present the case of a 36-year-old patient with bilateral independent manual automatisms associated with seizures coming independently from the left and right temporal lobes, as documented by surface EEG ictal recordings. An MRI showed evidence of bilateral mesial temporal sclerosis, more prominent on the right side. We speculate whether clinical semiology (along with the ictal EEG and imaging findings) discourages the pursuit of invasive monitoring, leading to more aggressive medical management in this particular case.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	1525-5050 1525-5069
DOI:	10.1016/j.yebeh.2008.08.022