Descending Cephalic to Epigastric Sensation in a Patient with Mesial Temporal Lobe Epilepsy: A Novel Observation

Sachin Sureshbabu; Merisin Joseph; Sruthi K. G; Smilu Mohanlal; Sudhir Peter; Sobhana Chindripu; Sujith Janardhanan; Sellam Karunanithi; Sreekumar T.K; Noufal Basheer; Jacob P. Alappat

doi:10.1055/s-0041-1739400

International Journal of Epilepsy, Inhaltsverzeichnis

CC BY-NC-ND 4.0 · International Journal of Epilepsy 2021; 07(02): 079-084
DOI: 10.1055/s-0041-1739400

Case Report

Descending Cephalic to Epigastric Sensation in a Patient with Mesial Temporal Lobe Epilepsy: A Novel Observation

Sachin Sureshbabu

¹Department of Neurology, Aster Malabar Institute of Medical Sciences Hospital, Kozhikode, Kerala, India

,

Merisin Joseph

¹Department of Neurology, Aster Malabar Institute of Medical Sciences Hospital, Kozhikode, Kerala, India

,

Sruthi K. G

¹Department of Neurology, Aster Malabar Institute of Medical Sciences Hospital, Kozhikode, Kerala, India

,

Smilu Mohanlal

¹Department of Neurology, Aster Malabar Institute of Medical Sciences Hospital, Kozhikode, Kerala, India

,

Sudhir Peter

²Department of Pathology, Neuberg Diagnostics, Vishakhapatnam, Andhra Pradesh, India

,

Sobhana Chindripu

³Department of Pathology, Guntur Medical College, Andhra Pradesh, India

,

Sujith Janardhanan

⁴Department of Radiology and Imaging Science, Aster Malabar Institute of Medical Sciences Hospital, Kozhikode, Kerala, India

,

Sellam Karunanithi

⁵Department of Nuclear Medicine, Aster Malabar Institute of Medical Sciences Hospital, Kozhikode, Kerala, India

,

Sreekumar T.K

⁶Department of Neurosurgery, Aster Malabar Institute of Medical Sciences Hospital, Kozhikode, Kerala, India

,

Noufal Basheer

⁶Department of Neurosurgery, Aster Malabar Institute of Medical Sciences Hospital, Kozhikode, Kerala, India

,

Jacob P. Alappat

⁶Department of Neurosurgery, Aster Malabar Institute of Medical Sciences Hospital, Kozhikode, Kerala, India

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Abstract

One of the most frequent type of auras in mesial temporal lobe epilepsy (MTLE) is epigastric sensation. Until now the site of the symptomatogenic zone of the epigastric aura remains controversial. The temporal lobe as well as insular cortex has been implicated. Our case is that of a 29-year-old young woman patient who presented with an aura of descending cephalic to epigastric sensation as opposed to the prototypical ascending aura. Interictal and ictal recording favored a mesial temporal pattern. Magnetic resonance imaging brain showed left mesial temporal lobe sclerosis. Interictal positron emission tomography showed concordant findings. The patient underwent selective amygdalohippocampectomy following which she remains seizure-free. This previously unreported clinical expression of MTLE and its origins is discussed.

Keywords

epilepsy - epigastric aura - mesial temporal lobe epilepsy

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Referenzen

Reference
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