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Lingual seizures.

M Y Neufeld1, S C Blumen, P Nisipeanu

  • 1Department of Neurology, Sackler School of Medicine, Tel-Aviv University, Israel.

Epilepsia
|January 1, 1988
PubMed
Summary
This summary is machine-generated.

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This case study describes lingual seizures, an extremely rare seizure manifestation, in a patient with hyperglycemia and rheumatoid arthritis. Focal epileptiform discharges confirmed the unusual seizure type.

Area of Science:

  • Neurology
  • Epileptology
  • Clinical Neurophysiology

Background:

  • Rheumatoid arthritis and hyperglycemia are common comorbidities.
  • Epilepsy can present with diverse and unusual seizure manifestations.
  • Lingual seizures are an exceedingly rare focal epilepsy subtype.

Observation:

  • A 73-year-old patient with rheumatoid arthritis and hyperglycemia experienced recurrent episodes of involuntary tongue movements.
  • These episodes were characterized by pain at the tongue base, head/eye aversion to the left, and left mouth corner contractions.
  • Seizures were triggered by specific movement and somesthetic stimuli.

Findings:

  • Ictal electroencephalogram (EEG) demonstrated focal epileptiform discharges in the right centrofrontal region.

Related Experiment Videos

  • The clinical presentation and EEG findings confirmed the diagnosis of lingual seizures.
  • This case highlights an extremely unusual focal epilepsy manifestation.

    • Implications:

    • This case expands the spectrum of focal epilepsy presentations.
    • Understanding rare seizure types like lingual seizures is crucial for accurate diagnosis and management.
    • Further research into the neurophysiological underpinnings of lingual seizures may offer new therapeutic targets.