Subscribe to RSS
Descending Cephalic to Epigastric Sensation in a Patient with Mesial Temporal Lobe Epilepsy: A Novel Observation
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.
Article published online:
06 January 2022
© 2022. Indian Epilepsy Society. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
- 1 Sun L, Li J, Song H, Lin W. Mesial temporal lobe epilepsy presenting with rising epigastric sensation as the only clinical symptom: a case report. Neuroreport 2016; 27 (04) 220-223
- 2 Wang H, McGonigal A, Zhang K. et al. Semiologic subgroups of insulo-opercular seizures based on connectional architecture atlas. Epilepsia 2020; 61 (05) 984-994
- 3 Baier B, zu Eulenburg P, Geber C. et al. Insula and sensory insular cortex and somatosensory control in patients with insular stroke. Eur J Pain 2014; 18 (10) 1385-1393
- 4 Uddin LQ, Nomi JS, Hébert-Seropian B, Ghaziri J, Boucher O. Structure and function of the human insula. J Clin Neurophysiol 2017; 34 (04) 300-306