AI Article Synopsis
- Piloerection can occur during seizures in temporal lobe epilepsy, which is uncommon.
- A 38-year-old man experienced repetitive pilomotor seizures without typical symptoms, delaying his epilepsy diagnosis by a month.
- Diagnostic imaging showed changes in specific brain areas, and while treatment led to seizure freedom, follow-up MRI indicated ongoing brain changes a year later, highlighting the connection between piloerection and the mesial temporal region.
Article Abstract
Piloerection is a rare ictal manifestation of temporal lobe epilepsy. The case is a 38-year-old man with acute onset of repetitive pilomotor seizures. Lacking other symptoms implicating epileptic seizures, a month passed before he was diagnosed with epilepsy. Ictal electroencephalography revealed rhythmic waves in the right temporal area. Reversible magnetic resonance imaging (MRI) abnormalities were visible in the right hippocampus, right uncus, and right amygdala. The appropriate antiepileptic drug therapy made him seizure-free, but following MRI, he showed right hippocampal atrophy one year after seizure cessation. This case is significant in that we can follow sequential MRI from onset, and it is meaningful for considering the mesial temporal area as involved with piloerection.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4150676 | PMC |
| http://dx.doi.org/10.1016/j.ebcr.2013.08.003 | DOI Listing |
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