Seizure propagation in a patient with musicogenic epilepsy
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- 作者：Ashesh D. Mehta ; Alan B. Ettinger ; Kenneth Perrine ; Vijay Dhawan ; Allam Patil ; Sanjay K. Jain ; Gad Klein ; Steven J. Schneider ; David Eidelberg
- 关键词：Music ; Depth electrodes ; Positron emission tomography scan ; Reflex epilepsy
- 刊名：Epilepsy & Behavior
- 出版年：2009
- 出版时间：February 2009
- 年：2009
- 卷：14
- 期：2
- 页码：421-424
- 全文大小：330 K
文摘
Musicogenic epilepsy (ME) is a condition in which seizures are triggered by music. We describe a novel investigation of the mechanisms of ME using noninvasive (ictal 2-flurodeoxyglucose (2-FDG) positron emission tomography (PET)) and invasive (subdural arrays and depth electrodes) methodology in one patient with ME. Ictal PET defined onsets in the right mesial temporal lobe. This was confirmed by intracranial electrode recordings, where there was onset in the right mesial temporal lobe, followed by sequential spread to the lateral temporal cortex, Heschel’s gyrus, insula, and frontal lobes. Right temporal lobectomy resulted in Engel class 1 outcome.