Epileptic vertigo: evidence for vestibular representation in human frontal cortex.
The authors report a 5-year-old boy with episodes of epileptic rotational clockwise vertigo without nystagmus. Video-EEG monitoring showed a left frontocentral onset of epileptic discharges accompanied by complaints of vertigo. MRI showed a small low-grade astrocytoma in the left frontal middle gyrus. After lesionectomy, vertiginous seizures ceased. The patient's vertigo seems to be induced by epileptic discharges in a vestibular representation area within the frontal cortex.
Kluge
M
M
Department of Epileptology, University of Bonn Medical Center, Bonn, Germany.
Beyenburg
S
S
Fernández
G
G
Elger
C E
CE
D002675:Child, Preschool; D004569:Electroencephalography; D004827:Epilepsy / Q000473:pathology / Q000503:physiopathology*; D005625:Frontal Lobe / Q000473:pathology / Q000503:physiopathology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D014717:Vertigo / Q000473:pathology / Q000503:physiopathology*