title: Right and left mesial temporal lobe seizures in one patient: bona fide semiological, interictal, ictal, and MRI evidence.
abstract: We present the case of a 36-year-old patient with bilateral independent manual automatisms associated with seizures coming independently from the left and right temporal lobes, as documented by surface EEG ictal recordings. An MRI showed evidence of bilateral mesial temporal sclerosis, more prominent on the right side. We speculate whether clinical semiology (along with the ictal EEG and imaging findings) discourages the pursuit of invasive monitoring, leading to more aggressive medical management in this particular case.
authors.affiliation: Epilepsy Surgery Program, Hospital de Clinicas, Federal University of Paraná, Gen Carneiro, Centro 80060-900 Curitiba, Paraná, Brazil. luciano.depaola@gmail.com
authors.forename: Luciano
authors.initials: L
authors.lastname: De Paola
authors.forename: Carlos
authors.initials: C
authors.lastname: Silvado
authors.forename: Luciana
authors.initials: L
authors.lastname: Souza
authors.forename: Ana
authors.initials: A
authors.lastname: Crippa
authors.forename: Carlos Alexandre
authors.initials: CA
authors.lastname: Twardowschy
authors.forename: Francisco
authors.initials: F
authors.lastname: Germiniani
authors.forename: Maria Joana
authors.initials: MJ
authors.lastname: Mäder
authors.forename: André
authors.initials: A
authors.lastname: Palmini
mesh_terms: D000328:Adult; D004569:Electroencephalography / Q000379:methods; D004833:Epilepsy, Temporal Lobe / Q000473:pathology* / Q000503:physiopathology*; D005260:Female; D007839:Functional Laterality; D006801:Humans; D008279:Magnetic Resonance Imaging