Frequent piloerection, or gooseflesh, episodes in a man were identified as pilomotor seizures. These rare seizures, originating in the right temporal lobe, were caused by a glioblastoma.
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Epilepsy is a neurological disorder characterized by recurrent seizures.
Seizures can manifest in various ways, including motor and sensory symptoms.
Piloerection, commonly known as gooseflesh, is typically an autonomic response.
Observation:
A 44-year-old male patient presented with recurrent episodes of piloerection.
Clinical examination and electroencephalogram (EEG) findings indicated seizure activity.
The seizures were localized to the right temporal lobe.
Findings:
The patient's pilomotor seizures were attributed to a glioblastoma, a type of brain tumor.
This case highlights piloerection as an unusual ictal manifestation.
Paroxysmal piloerection is a rare but recognized symptom of epilepsy.
Implications:
This case expands the spectrum of known seizure manifestations in temporal lobe epilepsy.
It underscores the importance of considering rare symptoms in epilepsy diagnosis.
The findings emphasize the need for thorough investigation, including neuroimaging, in patients with atypical seizure presentations, especially when a glioblastoma is suspected.