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Pilomotor seizures: a video case report

Mohamad Ayman Haykal1, Bassel Abou-Khalil

  • 1Department of Neurology, Vanderbilt University Medical Center, Nashville 37232-2551, USA.

Epileptic Disorders : International Epilepsy Journal with Videotape
|March 20, 2012
PubMed

Insights

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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