title: Seizure propagation in a patient with musicogenic epilepsy.
abstract: 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.
authors.affiliation: Department of Neurosurgery, North Shore Long Island Jewish Health System, New Hyde Park, NY 11040, USA. amehta@nshs.edu
authors.forename: Ashesh D
authors.initials: AD
authors.lastname: Mehta
authors.forename: Alan B
authors.initials: AB
authors.lastname: Ettinger
authors.forename: Kenneth
authors.initials: K
authors.lastname: Perrine
authors.forename: Vijay
authors.initials: V
authors.lastname: Dhawan
authors.forename: Allam
authors.initials: A
authors.lastname: Patil
authors.forename: Sanjay K
authors.initials: SK
authors.lastname: Jain
authors.forename: Gad
authors.initials: G
authors.lastname: Klein
authors.forename: Steven J
authors.initials: SJ
authors.lastname: Schneider
authors.forename: David
authors.initials: D
authors.lastname: Eidelberg
mesh_terms: D001931:Brain Mapping; D004569:Electroencephalography; D020195:Epilepsy, Reflex / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000503:physiopathology; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D010456:Peptides, Cyclic; D049268:Positron-Emission Tomography / Q000379:methods; D012640:Seizures / Q000503:physiopathology*; D055815:Young Adult
chemical_list: C515149:4-fluorobenozyl-glutamyl-cyclo(arginyl-glycyl-aspartyl-tyrosyl-lysyl)2; D010456:Peptides, Cyclic