scholarly journals Epileptic seizures precipited by eating: a case report

1981 ◽  
Vol 39 (1) ◽  
pp. 106-114 ◽  
Author(s):  
Fernando Carlos Aleixo Sepulveda ◽  
Luiz Antonio Alves Duro ◽  
Maria Madalena Cavalcanti da Silva ◽  
Silvia Raimunda Costa Leite
Keyword(s):  
Case Report ◽  
Sodium Valproate ◽  
Temporal Lobe ◽  
Neural Control ◽  
Epileptic Seizures ◽  
Left Temporal Lobe ◽  
Epileptic Discharges ◽  
Different Types

The case of one 23 year-old girl who had epileptic manifestations is reported. At first, generalized tonic seizures; afterwards, epileptic seizures precipited by eating. The electroencephalograms showed left temporal lobe disfunctions. Different types of drugs were used with no sucess. The best results were obtained by association of sodium valproate, clonazepan and phenobarbital. Comments are made about clinic and etiopathogenesis, believing the authors in the hipothesis of nervous structures chronic hiperactivity. To Walker8 the hiperactivity was reached by hormones production under neural control of specific cerebral centers. The continuous bombardment of epileptic discharges to hypothalamic centers is the probably responsible by epileptic seizures precipited by eating.

scholarly journals Spermatorrhea in a Chinese patient with temporal lobe epilepsy: a case report

2021 ◽  
Vol 49 (1) ◽  
pp. 030006052098281
Author(s):  
Liang Zhang ◽  
Hao Yu ◽  
Dan Li ◽  
Hui Qian ◽  
Yuchao Chen
Keyword(s):  
Erectile Dysfunction ◽  
Case Report ◽  
Sexual Dysfunction ◽  
Temporal Lobe Epilepsy ◽  
Temporal Lobe ◽  
Neurological Disorder ◽  
Premature Ejaculation ◽  
Chinese Patient ◽  
Left Temporal Lobe ◽  
Rare Manifestation

Epilepsy is a chronic neurological disorder that is characterized by episodes of seizure. Sexual dysfunction has been reported in patients with seizure, which mostly manifests as erectile dysfunction and premature ejaculation in men. In this study, we report the case of a 65-year-old Chinese man with frequent spermatorrhea. Electroencephalography suggested local epilepsy in the left temporal lobe. After treatment with anti-epilepsy drugs, the symptoms disappeared and did not recur. To the best of our knowledge, this is the first reported case of epilepsy-induced spermatorrhea. The symptoms of spermatorrhea are probably a rare manifestation of seizure. When repetitive stereotyped symptoms occur, seizure should be considered, and tentative anti-epileptic treatment may be a good option.

scholarly journals When a Doctor Becomes a Patient with a Mystery Illness: A Case Report

2010 ◽  
Vol 2010 ◽  
pp. 1-4 ◽  
Author(s):  
Brit Haver
Keyword(s):  
Case Report ◽  
Temporal Lobe Epilepsy ◽  
Temporal Lobe ◽  
Personal Experience ◽  
Correct Diagnosis ◽  
Somatic Symptoms ◽  
Epileptic Discharges ◽  
Specialized Equipment ◽  
Episodic Nature ◽  
Medical Examinations

Symptoms presenting as mental disorders may represent epileptic discharges, especially from the temporal lobe. Both mental and somatic symptoms are common in temporal lobe epilepsy, which may confuse doctors, leading to extensive medical examinations and tests, false diagnoses, and ineffective treatment. Also, the episodic nature and variety of symptoms between as well as in individual cases hinder correct diagnosis. Since epileptic discharges may be visible on EEG only during an epileptic fit—and may need highly specialized equipment to detect—many cases are undiagnosed or treated under false diagnoses. The author believes that undetected temporal lobe epilepsy falsely labelled as psychiatric disorders are common. Specific and effective treatment exists for temporal lobe epilepsy, making correct diagnosis important. This history—based on the author's personal experience—also illustrates aspects of the physician-patients' problems and resources, as well as the gap between somatic and psychiatric medicine concerning this rather common neuropsychiatric disorder.

Primary Meningeal Melanocytoma in the Left Temporal Lobe Associated with Nevus Ota: a Case Report and Review of the Literature

2015 ◽  
Vol 84 (2) ◽  
pp. 567-573 ◽  
Author(s):  
Mohammad Samadian ◽  
Ali Mousavi Nejad ◽  
Mehrdad Hosseinzadeh Bakhtevari ◽  
Shahram Sabeti ◽  
Guive Sharifi ◽  
...  
Keyword(s):  
Case Report ◽  
Temporal Lobe ◽  
Review Of The Literature ◽  
Left Temporal Lobe ◽  
Meningeal Melanocytoma

scholarly journals Handedness Shift as a Consequence of Motor Cortex Reorganization After Early Functional Impairment in Left Temporal Lobe Epilepsy—An fMRI Case Report

Neurocase ◽  
2004 ◽  
Vol 10 (4) ◽  
pp. 326-329 ◽  
Author(s):  
Pavel Chlebus ◽  
Milan Brázdil ◽  
Petr Hluštík ◽  
Michal Mikl ◽  
Marta Pažourková ◽  
...  
Keyword(s):  
Case Report ◽  
Motor Cortex ◽  
Temporal Lobe Epilepsy ◽  
Temporal Lobe ◽  
Functional Impairment ◽  
Left Temporal Lobe

scholarly journals Déjà vu phenomenon as symptom of temporal lobe epilepsy in eight-year-old girl: A case report

2020 ◽  
Vol 11 (1) ◽  
pp. 90-95
Author(s):  
Goran Popović ◽  
Ranka Mirković ◽  
Dejan Bokonjić ◽  
Biljana Milinković ◽  
Tatjana Gavrilović-Elez
Keyword(s):  
Case Report ◽  
Physical Examination ◽  
Temporal Lobe Epilepsy ◽  
Temporal Lobe ◽  
Diagnostic Tests ◽  
Epileptic Activity ◽  
Epileptic Discharges ◽  
Deja Vu ◽  
Déjà Vu ◽  
The Right

Introduction. Deja vu (franc. Déjà vu) is a phenomenon experienced by two thirds of all people. However, this phenomenon can follow aura during the temporal lobe epilepsy. It is believed that it originates from hippocampus, which plays a major role in generating epileptic discharges. Some authors emphasize that in these patients déjà vu phenomenon is not an aura but rather it sometimes refers to the attack itself. Method. In this case report, an eightyear-old girl suffering from repeated crisis of consciousness is described. Case report. The aim of the study was to present the case of an eightyearold girl who underwent three crisis of consciousness, headache behind the forehead as well as the repeated déjà vu phenomenon. The girl was hospitalized, after which medical history was taken and physical examination, as well as other diagnostic tests, were performed. EEG recording revealed an increased electrocortical epileptic activity above the right frontotemporal region. An antiepileptic therapy (Karbapin) leading to attack control was introduced. Conclusion. It is necessary to give temporal lobe epilepsy in children with déjà vu phenomenon serious consideration.

scholarly journals Reversible MRI abnormalities in mesial temporal lobe epilepsy: a case report

2013 ◽  
Vol 7 (3) ◽  
pp. 77-84
Author(s):  
Chiara Pizzanelli ◽  
Lorenzo Caciagli ◽  
Veronica Bartolami ◽  
Filippo Sean Giorgi ◽  
Ilaria Pesaresi ◽  
...  
Keyword(s):  
Case Report ◽  
Temporal Lobe ◽  
Epileptic Seizures ◽  
Mesial Temporal Lobe Epilepsy ◽  
Epileptic Activity ◽  
Imaging Method ◽  
Antiepileptic Therapy ◽  
Apparent Diffusion ◽  
Mesial Temporal Lobe

The question regarding  the existence of abnormalities in the neuroimaging exams immediately after status epilecticus or epileptic seizures, but showing complete reversibility after a proper antiepileptic therapy, has long been debated. The first reports attempting to demonstrate their existence date back to the 1980s, and relied upon computed tomography as the imaging method of choice. After the introduction of MRI, a more appropriate characterization of these abnormalities was obtained along with the description of their most frequent features: (a) T2 signal hyperintensity in the white matter and, occasionally, (b) reduced apparent diffusion coefficient (ADC) and increased signal in DWI sequences.The MRI abnormalities induced by epileptic activity pose a broad differential diagnosis including infections, inflammatory autoimmune encephalopathies, neoplasms. It remains a diagnosis of exclusion and requires proper diagnostic iter in order to reduce the risk of misdiagnosis and unnecessary intervention.In this case report, a thorough presentation will be outlined about MRI alterations in the left mesial temporal lobe, which resulted completely reversible after a proper antiepileptic therapy.

scholarly journals Impact of Ethno-Cultural Beliefs On A Person With Mental Illness: A Case Report

2014 ◽  
Vol 3 (1) ◽  
pp. 45-47
Author(s):  
N Rajbhandari ◽  
DR Shakya ◽  
N Sapkota ◽  
M Basnet
Keyword(s):  
Mental Illness ◽  
Case Report ◽  
Social Development ◽  
Temporal Lobe ◽  
Cultural Beliefs ◽  
Proper Treatment ◽  
Significant Delay ◽  
Left Temporal Lobe ◽  
Temporal Lobe Lesion

Culture, though difficult to define, is a collection of beliefs, attitudes, knowledge, customs, habits and behaviour which influence cognitions and social development of a patient. Cultures determine how sickness and illness are defined and that will determine what the first port of call is. It also colors the psychopathology. We here describe a case of a 36 years woman who presented with psychosis which co-occurred with left temporal lobe lesion who had significant delay in receiving proper treatment because of the ethno-cultural beliefs.DOI: http://dx.doi.org/10.3126/jpan.v3i1.11353 J Psychiatrists’ Association of Nepal Vol .3, No.1, 2014: 45-47

scholarly journals Mastoiditis and Tegmen Tympani Defect Leading to Intracranial Abscess with Actinomyces odontolyticus

2020 ◽  
pp. 1-4
Author(s):  
Omar S. Akbik ◽  
Omar S. Akbik ◽  
M. Gabriela Cabanilla ◽  
Bradley P. Pickett ◽  
Christian B. Ricks
Keyword(s):  
Case Report ◽  
Temporal Lobe ◽  
Middle Ear ◽  
Middle Cranial Fossa ◽  
Cerebral Abscess ◽  
Source Control ◽  
Left Temporal Lobe ◽  
Tegmen Tympani ◽  
Cranial Fossa

Introduction: Central nervous system (CNS) actinomycosis typically presents from the local spread of infection via the ear, sinus, or cervicofacial region, resulting most commonly in abscesses. Only one other case report reports on cerebral abscess with Actinomyces odontolyticus. Presentation of Case: A 60-year-old male presented with cognitive impairment and speech difficulties. Imaging revealed a cerebral abscess in the left temporal lobe causing significant mass effect and uncal herniation. Bony erosion was noted along the middle cranial fossa with fluid attenuation of the middle ear and mastoid. An emergent surgery was performed with neurosurgery and otolaryngology. Initially, a left craniotomy was performed in order to obtain access to the left temporal lobe. A vascularized flap was harvested from the fascia of the temporalis in order to repair any defects along the middle cranial fossa. The abscess was drained using ultrasound guidance. A mastoidectomy was then performed for source control. Cultures revealed Actinomyces odontolyticus for which intravenous antibiotics were administered. The patient developed postoperative seizures requiring monitoring and anti-epileptic medication. Follow-up revealed continued improvement in the patient’s cognition. Discussion: Cerebral abscess in the temporal lobe along the floor of the middle cranial fossa can be due to direct extension of infection from the middle ear or mastoid which requires a multidisciplinary approach to surgical treatment. Actinomycosis is a rare pathogen for CNS infection with only one other case report of CNS Actinomyces odontolyticus. Postoperative care in regards to antibiotic treatment and follow-up are also reviewed. Conclusion: The case highlights the urgency of treatment and surgical decision making made intraoperatively by both neurosurgery and otolaryngology in regards to drainage, repair of the defect, and treatment of infectious source.

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