Premium
Successful epilepsy surgery in frontal lobe epilepsy with startle seizures: a SEEG studyFrontal epilepsy with startle seizures
Author(s) -
Ciurea Ana,
Popa Irina,
Maliia Mihai Dragos,
CsillaJohangy,
Barborica Andrei,
Donos Cristian,
Ciurea Jean,
Opris Ioan,
Mindruta Ioana
Publication year - 2015
Publication title -
epileptic disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.673
H-Index - 53
eISSN - 1950-6945
pISSN - 1294-9361
DOI - 10.1684/epd.2015.0790
Subject(s) - epilepsy , ictal , stereoelectroencephalography , psychology , frontal lobe , epilepsy surgery , medicine , reflex epilepsy , anesthesia , audiology , neuroscience
Abstract Pre‐surgical assessment and surgical management of frontal epilepsy with normal MRI is often challenging. We present a case of a 33‐year‐old, right‐handed, educated male. During childhood, his seizures presented with mandibular myoclonus and no particular trigger. As a young adult, he developed seizures with a startle component, triggered by unexpected noises. During his ictal episodes, he felt fear and grimaced with sudden head flexion and tonic axial posturing. Similar seizures also occurred without startle. Neuropsychological assessment showed executive dysfunction and verbal memory deficit. The cerebral MRI was normal. Electro‐clinical reasoning, investigations performed, the results obtained and follow‐up are discussed in detail. [ Published with video sequence ]