Emotional stimuli-provoked seizures potentially misdiagnosed as psychogenic non-epileptic attacks: A case of temporal lobe epilepsy with amygdala enlargement
The association between emotional stimuli and temporal lobe epilepsy (TLE) is largely unknown. Here, we report the case of a depressed, 50-year-old female complaining of episodes of a “spaced out” experience precipitated by emotional stimuli. Psychogenic non-epileptic attacks were suspected. However...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2018-01-01
|
| Series: | Epilepsy and Behavior Case Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213323216300949 |
| _version_ | 1811230938875559936 |
|---|---|
| author | Hidetaka Tamune Go Taniguchi Susumu Morita Yousuke Kumakura Shinsuke Kondo Kiyoto Kasai |
| author_facet | Hidetaka Tamune Go Taniguchi Susumu Morita Yousuke Kumakura Shinsuke Kondo Kiyoto Kasai |
| author_sort | Hidetaka Tamune |
| collection | DOAJ |
| description | The association between emotional stimuli and temporal lobe epilepsy (TLE) is largely unknown. Here, we report the case of a depressed, 50-year-old female complaining of episodes of a “spaced out” experience precipitated by emotional stimuli. Psychogenic non-epileptic attacks were suspected. However, video-EEG coupled with emotional stimuli-provoked procedures and MRI findings of amygdala enlargement, led to the diagnosis of left TLE. Accurate diagnosis and explanation improved her subjective depression and seizure frequency. This case demonstrated that emotional stimuli can provoke seizures in TLE and suggested the involvement of the enlarged amygdala and the modulation of emotion-related neural circuits. Keywords: Video-EEG, Psychogenic non-epileptic attacks, Temporal lobe epilepsy, Amygdala enlargement, Reflex seizure, Provoked seizure |
| first_indexed | 2024-04-12T10:37:46Z |
| format | Article |
| id | doaj.art-01f48eff9d88421b84e741d5e38aa16b |
| institution | Directory Open Access Journal |
| issn | 2213-3232 |
| language | English |
| last_indexed | 2024-04-12T10:37:46Z |
| publishDate | 2018-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Epilepsy and Behavior Case Reports |
| spelling | doaj.art-01f48eff9d88421b84e741d5e38aa16b2022-12-22T03:36:41ZengElsevierEpilepsy and Behavior Case Reports2213-32322018-01-0193741Emotional stimuli-provoked seizures potentially misdiagnosed as psychogenic non-epileptic attacks: A case of temporal lobe epilepsy with amygdala enlargementHidetaka Tamune0Go Taniguchi1Susumu Morita2Yousuke Kumakura3Shinsuke Kondo4Kiyoto Kasai5Department of Neuropsychiatry, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; Department of Neuropsychiatry, Tokyo Metropolitan Tama Medical Center, Tokyo, JapanDepartment of Neuropsychiatry, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; Corresponding author at: 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan.Department of Neuropsychiatry, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; Department of Psychiatry, Tokyo Metropolitan Matsuzawa Hospital, Tokyo, JapanDepartment of Neuropsychiatry, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; Department of Mental Health, Graduate School of Medicine, The University of Tokyo, Tokyo, JapanDepartment of Neuropsychiatry, Graduate School of Medicine, The University of Tokyo, Tokyo, JapanDepartment of Neuropsychiatry, Graduate School of Medicine, The University of Tokyo, Tokyo, JapanThe association between emotional stimuli and temporal lobe epilepsy (TLE) is largely unknown. Here, we report the case of a depressed, 50-year-old female complaining of episodes of a “spaced out” experience precipitated by emotional stimuli. Psychogenic non-epileptic attacks were suspected. However, video-EEG coupled with emotional stimuli-provoked procedures and MRI findings of amygdala enlargement, led to the diagnosis of left TLE. Accurate diagnosis and explanation improved her subjective depression and seizure frequency. This case demonstrated that emotional stimuli can provoke seizures in TLE and suggested the involvement of the enlarged amygdala and the modulation of emotion-related neural circuits. Keywords: Video-EEG, Psychogenic non-epileptic attacks, Temporal lobe epilepsy, Amygdala enlargement, Reflex seizure, Provoked seizurehttp://www.sciencedirect.com/science/article/pii/S2213323216300949 |
| spellingShingle | Hidetaka Tamune Go Taniguchi Susumu Morita Yousuke Kumakura Shinsuke Kondo Kiyoto Kasai Emotional stimuli-provoked seizures potentially misdiagnosed as psychogenic non-epileptic attacks: A case of temporal lobe epilepsy with amygdala enlargement Epilepsy and Behavior Case Reports |
| title | Emotional stimuli-provoked seizures potentially misdiagnosed as psychogenic non-epileptic attacks: A case of temporal lobe epilepsy with amygdala enlargement |
| title_full | Emotional stimuli-provoked seizures potentially misdiagnosed as psychogenic non-epileptic attacks: A case of temporal lobe epilepsy with amygdala enlargement |
| title_fullStr | Emotional stimuli-provoked seizures potentially misdiagnosed as psychogenic non-epileptic attacks: A case of temporal lobe epilepsy with amygdala enlargement |
| title_full_unstemmed | Emotional stimuli-provoked seizures potentially misdiagnosed as psychogenic non-epileptic attacks: A case of temporal lobe epilepsy with amygdala enlargement |
| title_short | Emotional stimuli-provoked seizures potentially misdiagnosed as psychogenic non-epileptic attacks: A case of temporal lobe epilepsy with amygdala enlargement |
| title_sort | emotional stimuli provoked seizures potentially misdiagnosed as psychogenic non epileptic attacks a case of temporal lobe epilepsy with amygdala enlargement |
| url | http://www.sciencedirect.com/science/article/pii/S2213323216300949 |
| work_keys_str_mv | AT hidetakatamune emotionalstimuliprovokedseizurespotentiallymisdiagnosedaspsychogenicnonepilepticattacksacaseoftemporallobeepilepsywithamygdalaenlargement AT gotaniguchi emotionalstimuliprovokedseizurespotentiallymisdiagnosedaspsychogenicnonepilepticattacksacaseoftemporallobeepilepsywithamygdalaenlargement AT susumumorita emotionalstimuliprovokedseizurespotentiallymisdiagnosedaspsychogenicnonepilepticattacksacaseoftemporallobeepilepsywithamygdalaenlargement AT yousukekumakura emotionalstimuliprovokedseizurespotentiallymisdiagnosedaspsychogenicnonepilepticattacksacaseoftemporallobeepilepsywithamygdalaenlargement AT shinsukekondo emotionalstimuliprovokedseizurespotentiallymisdiagnosedaspsychogenicnonepilepticattacksacaseoftemporallobeepilepsywithamygdalaenlargement AT kiyotokasai emotionalstimuliprovokedseizurespotentiallymisdiagnosedaspsychogenicnonepilepticattacksacaseoftemporallobeepilepsywithamygdalaenlargement |