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Left hemisphere dominance for pilomotor seizures: clinical and SPECT clues without EEG signs

Agnetti, Virgilio and Nuvoli, Susanna Maria Francesca and Murrighile, M. Raffaela and Marongiu, Giommaria and Todesco, Silvano and Ortu, Renato (2005) Left hemisphere dominance for pilomotor seizures: clinical and SPECT clues without EEG signs. Journal of Neurology, Vol. 252 (Suppl. 2), p. 56-57. eISSN 1432-1459. Article.

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DOI: 10.1007/s00415-005-2002-6

Abstract

Cold shiver and piloerection with bilateral symmetrical onset are rare symptoms of epileptic seizures. Attempts to explore their localising and lateralising value suggested the temporal lobe as the ictal onset zone in many cases,whereas a l-hemisphere dominance in patients with bilateral ictal piloerection remains controversial. With the support of video-EEG sequences we present a case showing that involvement of axial structures together with symmetrical cold shiver and horripilation complicate the interpretation in absence of specific electrical abnormalities. The clinical observation and 99mTc-HMPAO SPECT were clues for a left localisation of the epileptic focus.

Item Type:Article
ID Code:1491
Status:Published
Refereed:Yes
Uncontrolled Keywords:Pilomotor seizures, 99mTc-HMPAO SPECT, epileptic focus
Subjects:Area 06 - Scienze mediche > MED/36 Diagnostica per immagini e radioterapia
Area 06 - Scienze mediche > MED/26 Neurologia
Divisions:001 Università di Sassari > 03 Istituti > Clinica medica generale e terapia medica
001 Università di Sassari > 03 Istituti > Clinica neurologica
Publisher:Springer Berlin / Heidelberg
eISSN:1432-1459
Deposited On:18 Aug 2009 10:05

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