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Musicogenic epilepsy: A Stereo-electroencephalography study.

Veronica Pelliccia1, Flavio Villani2, Francesca Gozzo1

  • 1C. Munari Epilepsy Surgery Centre, Ospedale Niguarda, Milano, Italy.

Cortex; a Journal Devoted to the Study of the Nervous System and Behavior
|March 7, 2019
PubMed
Summary
This summary is machine-generated.

Musicogenic epilepsy, triggered by music, is a rare focal epilepsy. Stereo-electroencephalography identified the antero-mesial temporal regions as the seizure origin in one patient, leading to successful surgical treatment.

Keywords:
Epilepsy surgeryMusicogenic epilepsyStereo-EEGTemporal antero-mesial cortectomyTemporal lobe epilepsy

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Area of Science:

  • Neurology
  • Epileptology

Background:

  • Musicogenic epilepsy is a rare focal epilepsy where seizures are triggered by music.
  • Limited data exist on its etiopathogenesis, necessitating further investigation.

Purpose of the Study:

  • To investigate the clinical, neurophysiological, and imaging data of musicogenic epilepsy using Stereo-electroencephalography (SEEG).
  • To identify the seizure onset zone and evaluate surgical outcomes in a drug-resistant case.

Main Methods:

  • A 27-year-old female patient with drug-resistant musicogenic epilepsy underwent SEEG monitoring.
  • Analysis of ictal EEG, neuroimaging (MRI), and surgical resection of the identified seizure focus.

Main Results:

  • SEEG pinpointed the antero-mesial temporal regions as the seizure origin, with no spread to other cortical areas.
  • The patient became seizure-free after right temporal antero-mesial resection, with neuropathology being uninformative.
  • Findings suggest a temporo-mesial emotional-mnesic network triggered by music with affective components.

Conclusions:

  • SEEG is crucial for localizing seizure origins in musicogenic epilepsy.
  • Surgical resection of the identified antero-mesial temporal focus can lead to seizure freedom.
  • Musicogenic epilepsy may involve an emotional-mnesic network in the mesial temporal lobe.