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Pharyngeal dysesthesias as an aura in temporal lobe epilepsy associated with amygdalar pathology

K Garganis1, C Papadimitriou, K Gymnopoulos

  • 12nd Department of Neurology, AHEPA University Hospital, Thessaloniki, Greece. gkkap@salonica.hellasnet.gr

Epilepsia
|July 7, 2001
PubMed
Abstract

Insights

Pharyngeal dysesthetic auras, often linked to specific brain regions, can originate from the amygdala in temporal lobe epilepsy. This finding expands our understanding of focal seizures and their sensory manifestations.

Area of Science:

  • Neurology
  • Epileptology
  • Neuroimaging

Background:

  • Pharyngeal dysesthetic auras are typically associated with centrotemporal and opercular seizure onset.
  • Understanding the precise origin of these auras is crucial for accurate diagnosis and treatment.

Observation:

  • This report details a rare case of temporal lobe epilepsy with an amygdalar lesion.
  • The patient presented with prominent pharyngeal dysesthesias as the primary seizure symptom.

Findings:

  • Prolonged extracranial video-electroencephalography (EEG) monitoring confirmed the epileptic origin of the pharyngeal sensations.
  • The EEG findings were consistent with the amygdalar lesion's location and side.

Implications:

  • Epileptic activity originating from the amygdala can manifest as pharyngeal dysesthetic auras.
  • This suggests that mediotemporal structures, including the amygdala, play a role in generating these sensations.
  • Seizure spread to interconnected insular and opercular cortex may also contribute to the aura's manifestation.

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