A Rare Case of Epilepsia Partialis Continua Caused by a Transient Thalamic Pulvinar Lesion
Epilepsia partialis continua (EPC) is a subclass of focal motor status epilepticus. Despite the evidence for a cortical origin, subcortical pathologies-especially those involving the thalamus-have been proposed. Here, we report a case of EPC with focal faciobrachial seizures, with a reversible pulvi...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Kirsehir Ahi Evran University
2021-12-01
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| Series: | Ahi Evran Medical Journal |
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| Online Access: | https://dergipark.org.tr/tr/download/article-file/1833635 |
| _version_ | 1797907684054269952 |
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| author | Yusuf KOÇAK Asuman ÇELİKBİLEK |
| author_facet | Yusuf KOÇAK Asuman ÇELİKBİLEK |
| author_sort | Yusuf KOÇAK |
| collection | DOAJ |
| description | Epilepsia partialis continua (EPC) is a subclass of focal motor status epilepticus. Despite the evidence for a cortical origin, subcortical pathologies-especially those involving the thalamus-have been proposed. Here, we report a case of EPC with focal faciobrachial seizures, with a reversible pulvinar thalamic lesion detected on magnetic resonance imaging (MRI), such as has not previously been reported. An 89-year-old man presented to our emergency department with a three-hour history of right-sided continuous faciobrachial seizure activity. Diffusion-weighted images showed hyperintensity in the left thalamus in the pulvinar region. Follow-up MRI revealed complete resolution of the abnormal signal in the same region. Our case was interesting because of the EPC caused by a transient thalamic pulvinar lesion in an unusual localization in an elderly patient with no previous brain lesions. |
| first_indexed | 2024-04-10T10:40:44Z |
| format | Article |
| id | doaj.art-0c48f9fad7a947c994209ccac75912e1 |
| institution | Directory Open Access Journal |
| issn | 2619-9203 |
| language | English |
| last_indexed | 2024-04-10T10:40:44Z |
| publishDate | 2021-12-01 |
| publisher | Kirsehir Ahi Evran University |
| record_format | Article |
| series | Ahi Evran Medical Journal |
| spelling | doaj.art-0c48f9fad7a947c994209ccac75912e12023-02-15T16:20:33ZengKirsehir Ahi Evran UniversityAhi Evran Medical Journal2619-92032021-12-0153258261https://doi.org/10.46332/aemj.954952 A Rare Case of Epilepsia Partialis Continua Caused by a Transient Thalamic Pulvinar LesionYusuf KOÇAK0https://orcid.org/0000-0002-5519-1196Asuman ÇELİKBİLEK1https://orcid.org/0000-0002-2367-1128KIRSEHIR AHI EVRAN UNIVERSITYKIRSEHIR AHI EVRAN UNIVERSITYEpilepsia partialis continua (EPC) is a subclass of focal motor status epilepticus. Despite the evidence for a cortical origin, subcortical pathologies-especially those involving the thalamus-have been proposed. Here, we report a case of EPC with focal faciobrachial seizures, with a reversible pulvinar thalamic lesion detected on magnetic resonance imaging (MRI), such as has not previously been reported. An 89-year-old man presented to our emergency department with a three-hour history of right-sided continuous faciobrachial seizure activity. Diffusion-weighted images showed hyperintensity in the left thalamus in the pulvinar region. Follow-up MRI revealed complete resolution of the abnormal signal in the same region. Our case was interesting because of the EPC caused by a transient thalamic pulvinar lesion in an unusual localization in an elderly patient with no previous brain lesions.https://dergipark.org.tr/tr/download/article-file/1833635epilepsia partialis continuafaciobracial seizuremagnetic resonance imagingthalamuspulvinar |
| spellingShingle | Yusuf KOÇAK Asuman ÇELİKBİLEK A Rare Case of Epilepsia Partialis Continua Caused by a Transient Thalamic Pulvinar Lesion Ahi Evran Medical Journal epilepsia partialis continua faciobracial seizure magnetic resonance imaging thalamus pulvinar |
| title | A Rare Case of Epilepsia Partialis Continua Caused by a Transient Thalamic Pulvinar Lesion |
| title_full | A Rare Case of Epilepsia Partialis Continua Caused by a Transient Thalamic Pulvinar Lesion |
| title_fullStr | A Rare Case of Epilepsia Partialis Continua Caused by a Transient Thalamic Pulvinar Lesion |
| title_full_unstemmed | A Rare Case of Epilepsia Partialis Continua Caused by a Transient Thalamic Pulvinar Lesion |
| title_short | A Rare Case of Epilepsia Partialis Continua Caused by a Transient Thalamic Pulvinar Lesion |
| title_sort | rare case of epilepsia partialis continua caused by a transient thalamic pulvinar lesion |
| topic | epilepsia partialis continua faciobracial seizure magnetic resonance imaging thalamus pulvinar |
| url | https://dergipark.org.tr/tr/download/article-file/1833635 |
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