Musicogenic seizures can arise from multiple temporal lobe foci: intracranial EEG analyses of three patients.
Epilepsia
; 47(8): 1402-6, 2006 Aug.
Article
em En
| MEDLINE
| ID: mdl-16922888
ABSTRACT
PURPOSE:
To determine the ictal-onset zone of musicogenic seizures by using intracranial EEG monitoring.METHODS:
Musicogenic seizures in three patients with medically intractable musicogenic epilepsy were first localized by using noninvasive methods including, in one patient, ictal magnetoencephalography (MEG) and magnetic resonance spectroscopy (MRS). The ictal-onset zones in these patients were then further localized using by intracranial EEG monitoring, and the outcomes of the two patients who underwent epilepsy surgery were determined.RESULTS:
Patient 1's musicogenic seizures localized to the right lateral temporal lobe, patient 2's originated in the right mesial temporal lobe, and patient 3's arose independently from both mesial temporal lobes. Patients 1 and 2 underwent resective epilepsy surgery and are seizure free (Engel class I).CONCLUSIONS:
Musicogenic epilepsy is a heterogeneous syndrome with seizures that can arise from multiple temporal lobe foci. Patients with medically intractable musicogenic epilepsy and with unilateral ictal onset zones may be considered candidates for resective epilepsy surgery.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Lobo Temporal
/
Epilepsia Reflexa
/
Eletroencefalografia
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
Limite:
Adult
/
Female
/
Humans
Idioma:
En
Revista:
Epilepsia
Ano de publicação:
2006
Tipo de documento:
Article
País de afiliação:
Estados Unidos