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Published on: December 18, 2016
Transient epileptic opercular syndrome
D H Benninger1, S G Mueller, V Treyer
1Department of Neurology, University Hospital Zürich, 8091 Zürich, Switzerland. david.benninger@usz.ch
Seizure
|February 3, 2007
Summary
Transient opercular syndrome is a rare epilepsy symptom. This case study details a unique adult patient with unilateral epilepsy and no identifiable structural abnormalities, challenging typical presentations.
Area of Science:
- Neurology
- Neurophysiology
- Epileptology
Background:
- Ictal transient opercular syndrome (ITOS) is infrequently documented in pediatric epilepsy syndromes like benign epilepsy with centro-temporal spikes.
- ITOS is even rarer in adult epilepsia partialis continua (EPC) and symptomatic focal status epilepticus (FSSE).
Observation:
- This report details a unique adult female patient presenting with discontinuous focal status epilepticus manifesting as transient opercular syndrome.
- The patient exhibited strictly unilateral electrophysiological discharges.
Findings:
- Extensive neuroimaging revealed no structural abnormalities in the affected hemisphere.
- This case highlights a rare instance of unilateral ITOS in an adult without a detectable structural lesion.
Implications:
- The findings suggest that ITOS can occur in adults with focal epilepsy even in the absence of structural brain abnormalities.
- This case expands the understanding of the clinical and etiological spectrum of transient opercular syndrome in focal epilepsy.
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