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Published on: February 10, 2020
Pilomotor seizures: a video case report.
Mohamad Ayman Haykal1, Bassel Abou-Khalil
1Department of Neurology, Vanderbilt University Medical Center, Nashville 37232-2551, USA.
Summary
Piloerection, a rare seizure symptom, is often linked to temporal lobe epilepsy. This case documents pilomotor seizures in a patient with left temporal lobe epilepsy, offering insights into seizure localization.
Area of Science:
- Neurology
- Epileptology
- Clinical Neuroscience
Background:
- Piloerection is an uncommon ictal manifestation frequently associated with temporal lobe epilepsy.
- Understanding the semiology of rare seizure types is crucial for accurate diagnosis and localization.
Observation:
- This study presents video and electrographic evidence of pilomotor seizures in a 75-year-old male patient.
- The patient had a history of left temporal lobe epilepsy and remote herpes zoster encephalitis.
Findings:
- Piloerection is typically localized to the temporal lobe.
- Unilateral piloerection often correlates with ipsilateral seizure onset.
- Bilateral piloerection's lateralizing value is less certain, but left hemispheric predominance is suggested.
Implications:
- This case contributes to the understanding of pilomotor seizures and their association with temporal lobe epilepsy.
- Detailed documentation aids in recognizing and localizing seizures based on piloerection.
- Further research may clarify the lateralizing significance of bilateral piloerection in epilepsy.
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