Unilateral opercular lesion and eating-induced seizures.
Eating-induced seizures are an uncommon presentation of reflex epilepsy, a condition characterized by seizures provoked by specific stimuli. Most reports have identified aetiology associated with malformations of cortical developmental, hypoxic brain injury, previous meningoencephalitis or static encephalopathy. We present a patient with eating-induced reflex seizures, which began several years after treatment for an opercular primitive neuroectodermal tumour (PNET), and who subsequently underwent in-depth clinical and video-EEG analysis for her seizures. This patient noted rapid improvement with decreased frequency of seizure activity after treatment with valproic acid. We discuss the aetiology of reflex epilepsy, the anatomical basis of eating-induced epilepsy, and review the current literature.
Department of Neurology, Baylor College of Medicine, Houston, TX 77030, USA. chaluvad@bcm.edu
Siresha Chaluvadi
SC
Manyam
Doris H
DH
Kung
Lisa B
LB
Rhodes
Michael E
ME
Newmark
David E
DE
Friedman
D000927:Anticonvulsants / Q000627:therapeutic use; D001932:Brain Neoplasms / Q000150:complications* / Q000473:pathology / Q000628:therapy; D002540:Cerebral Cortex / Q000473:pathology*; D003937:Diagnosis, Differential; D004435:Eating; D004569:Electroencephalography; D020195:Epilepsy, Reflex / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D018242:Neuroectodermal Tumors, Primitive / Q000150:complications* / Q000473:pathology / Q000628:therapy; D012640:Seizures / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology; D016896:Treatment Outcome; D014635:Valproic Acid / Q000627:therapeutic use; D055815:Young Adult
D000927:Anticonvulsants; D014635:Valproic Acid