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Updated: May 5, 2026
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A Multimodal Imaging- and Stimulation-based Method of Evaluating Connectivity-related Brain Excitability in Patients with Epilepsy
Published on: November 13, 2016
11.8K
Alucinaciones visuales complejas en la epilepsia post-ictus: un reporte de caso y revisión de la literatura
Shugo Fujita1, Genko Oyama1, Hitoshi Kawasaki1
1Department of Neurology, Saitama Medical University, Japan.
Internal medicine (Tokyo, Japan)
|February 15, 2026
Resumen
Las alucinaciones visuales complejas (AVC) en la epilepsia post-ictus (EPI) pueden originarse por actividad epiléptica en áreas de memoria visual. El reconocimiento temprano de las AVC en la EPI puede prevenir diagnósticos erróneos y garantizar un tratamiento adecuado.
Área de la Ciencia:
- Neurología; Epileptología; Neurociencia
Sus antecedentes:
- La epilepsia post-ictus (EPI) es una complicación común después de accidentes cerebrovasculares.; Las alucinaciones visuales complejas (AVC) son un síntoma neurológico inusual pero significativo.; Comprender la base neurobiológica de las AVC en la EPI es crucial para el diagnóstico y el manejo.
Objetivo del estudio:
- Informar un caso de EPI que se presenta con AVC persistentes.; Explorar el vínculo potencial entre la actividad epiléptica en regiones cerebrales específicas y las AVC.; Destacar la importancia de reconocer las AVC como una manifestación de la EPI.
Principales métodos:
- Reporte de caso de un hombre de 82 años con EPI y AVC.; Electroencefalografía (EEG) para identificar descargas epilépticas.; Revisión de la literatura sobre AVC en el contexto de la epilepsia.
Principales resultados:
- El paciente experimentó AVC persistentes que involucraban escenas episódicas pasadas.; El EEG mostró descargas epilépticas en las regiones posterior temporal y parietal derecha.; Los síntomas se resolvieron con levetiracetam y se mantuvieron con zonisamida.
Conclusiones:
- Las AVC en la EPI pueden surgir de la actividad epiléptica que se propaga a las regiones temporales o parietales no dominantes.; Las AVC podrían representar la recuperación de la memoria visual y estar asociadas con síntomas psiquiátricos.; El reconocimiento de las AVC en la EPI ayuda en el diagnóstico preciso y el tratamiento apropiado, evitando el diagnóstico erróneo.
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