When the Music Comes From the Brain: A Rare Case of Auditory Seizures Secondary to a Right Temporal Lobe Arteriovenous Malformation
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View abstract on PubMed
Summary
This summary is machine-generated.Auditory seizures, characterized by hearing hallucinations, are rare. This case highlights an arteriovenous malformation (AVM) in the temporal lobe causing these seizures, successfully treated with medication and radiosurgery.
Area Of Science
- Neurology
- Neurosurgery
- Radiology
Background
- Auditory seizures are uncommon focal seizures involving auditory hallucinations.
- The underlying etiology can range from idiopathic to structural lesions.
Observation
- A 59-year-old man presented with motor and non-motor seizures, including auditory hallucinations of metallic sounds, dropping pennies, music, and a train.
- Brain MRI revealed multiple serpiginous flow voids in the right temporal lobe.
Findings
- Diagnostic brain angiogram confirmed a right temporal arteriovenous malformation (AVM) as the cause of the seizures.
- Medical management with levetiracetam and oxcarbazepine improved symptoms.
- Stereotactic radiosurgery successfully ablated the AVM.
Implications
- This case underscores the importance of investigating structural lesions, such as AVMs, in patients with refractory auditory seizures.
- Combined medical and interventional treatment can effectively manage AVM-related epilepsy.
- While generalized seizures were controlled, partial control of auditory seizures post-treatment suggests potential for residual effects or further management needs.
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