| Epileptic mechanisms in Charles Bonnet syndrome. | |
| | |
MedLine Citation:
|
PMID: 20471325 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Epileptic phenomena are usually not considered a possible cause of prolonged hallucinatory states such as Charles Bonnet syndrome (CBS). A 65-year-old woman with previous right hemorrhagic strokes developed complex visual hallucinations (CVHs), featuring CBS, and delayed palinopsic phenomena, along with new neurological signs and worsening of existing deficits. Video/EEG/polygraphy monitoring revealed the presence of right-sided periodic lateralized epileptiform discharges of the "plus" type (PLEDs plus) and documented a focal seizure in close relation to a delayed palinopsia episode. Adjustment of antiepileptic drug treatment led to remission of the CVHs with simultaneous disappearance of PLEDs plus and epileptic seizures and return to previous neurological status. We discuss the role of continuous (PLEDs plus) and intermittent (focal seizures) epileptic activities in this episodic form of CBS, considering current theories on the genesis of CVHs. EEG assessment is recommended if CBS develops in a patient with unexplained worsening of existing neurological signs. |
| | |
Authors:
|
Maria Ossola; Alfredo Romani; Eleonora Tavazzi; Anna Pichiecchio; Carlo Andrea Galimberti |
Related Documents
:
|
8503795 - Juvenile myoclonic epilepsy. a review. 12185765 - Late-onset myoclonic epilepsy in down's syndrome (lomeds). 19641245 - Isolated right temporal lobe stroke patients present with geschwind gastaut syndrome, f... 6214625 - A survey of down's syndrome under general practitioner care in scotland. 1676135 - Review and videotape recognition of idiopathic restless legs syndrome. 17464575 - Negative ergs in mucopolysaccharidoses (mps) hurler-scheie (i-h/s) and hurler (i-h)-syn... |
Publication Detail:
|
Type: Case Reports; Journal Article Date: 2010-05-14 |
Journal Detail:
|
Title: Epilepsy & behavior : E&B Volume: 18 ISSN: 1525-5069 ISO Abbreviation: Epilepsy Behav Publication Date: 2010 May |
Date Detail:
|
Created Date: 2010-07-15 Completed Date: 2010-10-19 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 100892858 Medline TA: Epilepsy Behav Country: United States |
Other Details:
|
Languages: eng Pagination: 119-22 Citation Subset: IM |
Copyright Information:
|
Copyright (c) 2010 Elsevier Inc. All rights reserved. |
Affiliation:
|
Epilepsy Centre, IRCCS C. Mondino Institute of Neurology Foundation, Pavia, Italy. mari.os@tiscali.it |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Electroencephalography Epilepsy / complications*, diagnosis* Female Hallucinations / etiology* Humans |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Idiopathic generalized epilepsy with generalized tonic-clonic seizures (IGE-GTC): A population-based...
Next Document: Cognition, academic achievement, language, and psychopathology in pediatric chronic epilepsy: Short-...