Ictal sensory periodic lateralized epileptiform discharges.
We describe the case of a 74-year-old man with left parietal arteriovenous malformation (AVM) and cerebral white matter radiation necrosis who developed persistent subjective right-sided groin pulsations. The EEG revealed left parietal periodic lateralized epileptiform discharges (PLEDs) time-locked to these sensations, confirming that the patient's symptoms represented sensory seizures with ictal PLEDs as the electrographic correlate. To our knowledge, this is the first reported case of ictal PLEDs manifesting as sensory seizures.
Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.
Indranil
I
Sen-Gupta
Richard A
RA
Bernstein
Micheal P
MP
Macken
Stephan U
SU
Schuele
Elizabeth E
EE
Gerard
D000368:Aged; D001165:Arteriovenous Malformations / Q000150:complications; D002540:Cerebral Cortex / Q000473:pathology; D004569:Electroencephalography; D007839:Functional Laterality / Q000502:physiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009413:Nerve Fibers, Myelinated / Q000473:pathology; D012640:Seizures / Q000209:etiology* / Q000473:pathology