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Updated: Mar 20, 2026

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Published on: September 20, 2024
A unique patient with epilepsy with cinematographic visual hallucinations
Alexis E Nelson1, Frank Gilliam2, Jayant Acharya2
1Pennsylvania State University, Department of Neurology, Hershey, PA, United States; Uniformed Services University of the Health Sciences, Department of Neurology, Bethesda, MD, United States.
Purpose:
The purpose of this case report is to document a patient with cinematographic hallucinations, with corresponding right temporal lobe seizures on electroencephalogram (EEG).
Results:
The results showed that the patient's EEG was normal. The patient subsequently reported hallucinations, which had been occurring for the last several months. During monitoring, no interictal EEG abnormalities were identified, but a total of 11 partial seizures were captured originating from the right posterior temporal area. They either were subclinical or corresponded with his visual hallucinations.
Conclusion:
The present study demonstrates focal seizures of temporal lobe origin producing complex visual hallucinations without a corresponding lesion on MRI brain imaging.
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