Abstract
Pre-surgical assessment and surgical management of frontal epilepsy with normal MRI is often challenging. We present a case of a 33-year-old, right-handed, educated male. During childhood, his seizures presented with mandibular myoclonus and no particular trigger. As a young adult, he developed seizures with a startle component, triggered by unexpected noises. During his ictal episodes, he felt fear and grimaced with sudden head flexion and tonic axial posturing. Similar seizures also occurred without startle. Neuropsychological assessment showed executive dysfunction and verbal memory deficit. The cerebral MRI was normal. Electro-clinical reasoning, investigations performed, the results obtained and follow-up are discussed in detail.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 363-371 |
| Number of pages | 9 |
| Journal | Epileptic Disorders |
| Volume | 17 |
| Issue number | 4 |
| State | Published - Dec 1 2015 |
| Externally published | Yes |
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Keywords
- Focal cortical dysplasia
- Mesial fronto-parietal network
- SEEG
- Startle epilepsy
ASJC Scopus subject areas
- Neurology
- Clinical Neurology
Cite this
Successful epilepsy surgery in frontal lobe epilepsy with startle seizures : A SEEG study. / Ciurea, Ana; Popa, Irina; Maliia, Mihai Dragos; Csilla-Johanna, Nagy; Barborica, Andrei; Donos, Cristian; Ciurea, Jean; Opris, Ioan; Mindruta, Ioana.
In: Epileptic Disorders, Vol. 17, No. 4, 01.12.2015, p. 363-371.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Successful epilepsy surgery in frontal lobe epilepsy with startle seizures
T2 - A SEEG study
AU - Ciurea, Ana
AU - Popa, Irina
AU - Maliia, Mihai Dragos
AU - Csilla-Johanna, Nagy
AU - Barborica, Andrei
AU - Donos, Cristian
AU - Ciurea, Jean
AU - Opris, Ioan
AU - Mindruta, Ioana
PY - 2015/12/1
Y1 - 2015/12/1
N2 - Pre-surgical assessment and surgical management of frontal epilepsy with normal MRI is often challenging. We present a case of a 33-year-old, right-handed, educated male. During childhood, his seizures presented with mandibular myoclonus and no particular trigger. As a young adult, he developed seizures with a startle component, triggered by unexpected noises. During his ictal episodes, he felt fear and grimaced with sudden head flexion and tonic axial posturing. Similar seizures also occurred without startle. Neuropsychological assessment showed executive dysfunction and verbal memory deficit. The cerebral MRI was normal. Electro-clinical reasoning, investigations performed, the results obtained and follow-up are discussed in detail.
AB - Pre-surgical assessment and surgical management of frontal epilepsy with normal MRI is often challenging. We present a case of a 33-year-old, right-handed, educated male. During childhood, his seizures presented with mandibular myoclonus and no particular trigger. As a young adult, he developed seizures with a startle component, triggered by unexpected noises. During his ictal episodes, he felt fear and grimaced with sudden head flexion and tonic axial posturing. Similar seizures also occurred without startle. Neuropsychological assessment showed executive dysfunction and verbal memory deficit. The cerebral MRI was normal. Electro-clinical reasoning, investigations performed, the results obtained and follow-up are discussed in detail.
KW - Focal cortical dysplasia
KW - Mesial fronto-parietal network
KW - SEEG
KW - Startle epilepsy
UR - http://www.scopus.com/inward/record.url?scp=84953404144&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84953404144&partnerID=8YFLogxK
M3 - Article
VL - 17
SP - 363
EP - 371
JO - Epileptic Disorders
JF - Epileptic Disorders
SN - 1294-9361
IS - 4
ER -