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Related Experiment Videos

Psychomotor seizures.

A R Soslow

    Annals of Emergency Medicine
    |April 1, 1984
    PubMed
    Summary

    Recurrent dizziness and abdominal pain in a 30-year-old woman were linked to a temporal lobe seizure focus. Phenytoin treatment successfully resolved these symptoms, highlighting seizures as a cause of traumatic incidents.

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    Area of Science:

    • Neurology
    • Epileptology

    Background:

    • Episodic neurological symptoms like dizziness and abdominal pain can be challenging to diagnose.
    • Traumatic incidents, such as motor vehicle accidents, may be precipitated by underlying medical conditions.

    Observation:

    • A 30-year-old woman experienced recurrent episodes of dizziness and abdominal pain over 12 months, leading to loss of car control.
    • Initial evaluations, including physical and neurological exams and CT scans, were unremarkable.
    • An electroencephalogram (EEG) revealed a right temporal lobe spike with a slow wave pattern.

    Findings:

    • The EEG findings suggested a temporal lobe seizure focus as the cause of the patient's symptoms.
    • Treatment with phenytoin (300 mg/day) resulted in the complete cessation of dizzy spells and abdominal pain.

    Implications:

    • This case underscores the importance of considering seizure disorders in patients presenting with unexplained spells and associated traumatic events.
    • Early diagnosis and appropriate anticonvulsant therapy can prevent recurrent episodes and improve patient safety.
    • Neurologists should maintain a high index of suspicion for epilepsy when evaluating patients with recurrent, seemingly benign, neurological symptoms.

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