Right and left mesial temporal lobe seizures in one patient: bona fide semiological, interictal, ictal, and MRI evidence.
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.
De Paola
Luciano
L
Epilepsy Surgery Program, Hospital de Clinicas, Federal University of Paraná, Gen Carneiro, Centro 80060-900 Curitiba, Paraná, Brazil. luciano.depaola@gmail.com
Silvado
Carlos
C
Souza
Luciana
L
Crippa
Ana
A
Twardowschy
Carlos Alexandre
CA
Germiniani
Francisco
F
Mäder
Maria Joana
MJ
Palmini
André
A
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