Toothbrush-thinking seizures.
Seizures associated with toothbrushing have been reported in patients with precentral or postcentral partial epilepsy. Seizures precipitated by thinking have been described in patients with idiopathic generalized epilepsy. We report a patient with intractable partial epilepsy in which seizures were induced both by toothbrushing, and by seeing or thinking about toothbrush and toothpaste. Video-EEG analysis revealed a left temporal lobe origin for these reflex seizures. We discuss how complex multimodal stimuli may trigger these reflex seizures.
Navarro
Vincent
V
Epilepsy Unit, AP-HP, Pitié-Salpêtrière Hospital, Paris, France. vincent.navarro@psl.aphp.fr
Adam
Claude
C
Petitmengin
Claire
C
Baulac
Michel
M
D004569:Electroencephalography / Q000379:methods / Q000706:statistics & numerical data; D004828:Epilepsies, Partial / Q000175:diagnosis / Q000209:etiology / Q000523:psychology; D020195:Epilepsy, Reflex / Q000175:diagnosis / Q000209:etiology* / Q000523:psychology; D004833:Epilepsy, Temporal Lobe / Q000175:diagnosis / Q000209:etiology / Q000523:psychology; D007839:Functional Laterality / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D013850:Thinking / Q000502:physiology; D014099:Toothbrushing / Q000009:adverse effects / Q000523:psychology*; D014100:Toothpastes / Q000009:adverse effects; D014743:Videotape Recording
D014100:Toothpastes