Case Report
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A Rare Case of Epilepsia Partialis Continua Caused by a Transient Thalamic Pulvinar Lesion

Year 2021, Volume: 5 Issue: 3, 258 - 261, 22.12.2021

Yusuf Koçak Asuman Çelikbilek

https://doi.org/10.46332/aemj.954952

Abstract

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.

Keywords

epilepsia partialis continua faciobracial seizure magnetic resonance imaging thalamus pulvinar

Supporting Institution

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Project Number

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References

  • 1. Mameniskiene R, Wolf P. Epilepsia partialis continua: A review. Seizure 2017;44:74-80.
  • 2. Shipp S. The functional logic of cortico-pulvinar connections. Philos Trans R Soc Lond B Biol Sci. 2003;358(1438):1605-1624.
  • 3. Cunha IA, Gomes I, Gens H, Guimarães S, Martins AI, Bento C. Sporadic Creutzfeldt-Jakob disease presenting as epilepsia partialis continua and non-ictal nystagmus. Eur J Neurol. 2021;28(7):2456-2459.
  • 4. Katramados AM, Burdette D, Patel SC, Schultz LR, Gaddam S, Mitsias PD. Periictal diffusion abnormalities of the thalamus in partial status epilepticus. Epilepsia. 2009;50(2):265-275.
  • 5. Ohe Y, Hayashi T, Deguchi I, ve ark. MRI abnormality of the pulvinar in patients with status epilepticus. J Neuroradiol. 2014;41(4):220-226.
  • 6. Fernández-Torre JL, Martín-García M, Orozco-Sevilla E, Mato-Mañas D, Hernández-Hernández MA, Marco de Lucas E. Epilepsia partialis continua and cortical motor control: insights into physiology. Epileptic Disord. 2019;21(6):603-607.
  • 7. Szabo K, Poepel A, Pohlmann-Eden B, ve ark. Diffusion-weighted and perfusion MRI demonstrates parenchymal changes in complex partial status epilepticus. Brain. 2005;128(6):1369-1376.
  • 8. Senn P, Lövblad KO, Zutter D, ve ark. Changes on diffusion-weighted MRI with focal motor status epilepticus: case report. Neuroradiology. 2003;45(4):246-249.

Geçici Talamik Pulvinar Lezyonun Neden Olduğu Nadir Bir Epilepsi Partialis Continua Olgusu

Year 2021, Volume: 5 Issue: 3, 258 - 261, 22.12.2021

Yusuf Koçak Asuman Çelikbilek

https://doi.org/10.46332/aemj.954952

Abstract

Epilepsi parsialis continua (EPC), fokal motor status epileptikusun bir alt sınıfıdır. Kortikal bir kökene dair kanıtlara rağmen, subkortikal patolojiler - özellikle talamusla ilgili olanlar - öne sürülmüştür. Burada, daha önce bildirilmemiş olan, manyetik rezonans görüntülemede (MRG) tespit edilen, geri dönüşümlü bir pulvinar talamik lezyonu olan, fokal fasiyobrakiyal nöbetleri olan bir EPC
vakasını sunuyoruz. 89 yaşında erkek hasta, üç saatlik sağ taraflı sürekli fasiobrakial nöbet aktivitesi öyküsü ile acil servisimize başvurdu. Difüzyon ağırlıklı görüntülerde pulvinar bölgede sol talamusta hiperintensite görüldü. Takip MRG, aynı bölgedeki anormal sinyalin tam kaybolduğunu ortaya koydu. Olgumuz, daha önce beyin lezyonu olmayan yaşlı bir hastada olağandışı bir lokalizasyonda
geçici bir talamik pulvinar lezyonun neden olduğu EPC nedeniyle ilginçti.

Keywords

epilepsi partialis continua fasiobrakial nöbet manyetik rezonans görüntüleme talamus pulvinar

Project Number

-

References

  • 1. Mameniskiene R, Wolf P. Epilepsia partialis continua: A review. Seizure 2017;44:74-80.
  • 2. Shipp S. The functional logic of cortico-pulvinar connections. Philos Trans R Soc Lond B Biol Sci. 2003;358(1438):1605-1624.
  • 3. Cunha IA, Gomes I, Gens H, Guimarães S, Martins AI, Bento C. Sporadic Creutzfeldt-Jakob disease presenting as epilepsia partialis continua and non-ictal nystagmus. Eur J Neurol. 2021;28(7):2456-2459.
  • 4. Katramados AM, Burdette D, Patel SC, Schultz LR, Gaddam S, Mitsias PD. Periictal diffusion abnormalities of the thalamus in partial status epilepticus. Epilepsia. 2009;50(2):265-275.
  • 5. Ohe Y, Hayashi T, Deguchi I, ve ark. MRI abnormality of the pulvinar in patients with status epilepticus. J Neuroradiol. 2014;41(4):220-226.
  • 6. Fernández-Torre JL, Martín-García M, Orozco-Sevilla E, Mato-Mañas D, Hernández-Hernández MA, Marco de Lucas E. Epilepsia partialis continua and cortical motor control: insights into physiology. Epileptic Disord. 2019;21(6):603-607.
  • 7. Szabo K, Poepel A, Pohlmann-Eden B, ve ark. Diffusion-weighted and perfusion MRI demonstrates parenchymal changes in complex partial status epilepticus. Brain. 2005;128(6):1369-1376.
  • 8. Senn P, Lövblad KO, Zutter D, ve ark. Changes on diffusion-weighted MRI with focal motor status epilepticus: case report. Neuroradiology. 2003;45(4):246-249.
There are 8 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Case Reports
Authors

Yusuf Koçak 0000-0002-5519-1196

Asuman Çelikbilek 0000-0002-2367-1128

Project Number -
Publication Date December 22, 2021
Published in Issue Year 2021 Volume: 5 Issue: 3

Cite

APA Koçak, Y., & Çelikbilek, A. (2021). A Rare Case of Epilepsia Partialis Continua Caused by a Transient Thalamic Pulvinar Lesion. Ahi Evran Medical Journal, 5(3), 258-261. https://doi.org/10.46332/aemj.954952
AMA Koçak Y, Çelikbilek A. A Rare Case of Epilepsia Partialis Continua Caused by a Transient Thalamic Pulvinar Lesion. Ahi Evran Med J. December 2021;5(3):258-261. doi:10.46332/aemj.954952
Chicago Koçak, Yusuf, and Asuman Çelikbilek. “A Rare Case of Epilepsia Partialis Continua Caused by a Transient Thalamic Pulvinar Lesion”. Ahi Evran Medical Journal 5, no. 3 (December 2021): 258-61. https://doi.org/10.46332/aemj.954952.
EndNote Koçak Y, Çelikbilek A (December 1, 2021) A Rare Case of Epilepsia Partialis Continua Caused by a Transient Thalamic Pulvinar Lesion. Ahi Evran Medical Journal 5 3 258–261.
IEEE Y. Koçak and A. Çelikbilek, “A Rare Case of Epilepsia Partialis Continua Caused by a Transient Thalamic Pulvinar Lesion”, Ahi Evran Med J, vol. 5, no. 3, pp. 258–261, 2021, doi: 10.46332/aemj.954952.
ISNAD Koçak, Yusuf - Çelikbilek, Asuman. “A Rare Case of Epilepsia Partialis Continua Caused by a Transient Thalamic Pulvinar Lesion”. Ahi Evran Medical Journal 5/3 (December 2021), 258-261. https://doi.org/10.46332/aemj.954952.
JAMA Koçak Y, Çelikbilek A. A Rare Case of Epilepsia Partialis Continua Caused by a Transient Thalamic Pulvinar Lesion. Ahi Evran Med J. 2021;5:258–261.
MLA Koçak, Yusuf and Asuman Çelikbilek. “A Rare Case of Epilepsia Partialis Continua Caused by a Transient Thalamic Pulvinar Lesion”. Ahi Evran Medical Journal, vol. 5, no. 3, 2021, pp. 258-61, doi:10.46332/aemj.954952.
Vancouver Koçak Y, Çelikbilek A. A Rare Case of Epilepsia Partialis Continua Caused by a Transient Thalamic Pulvinar Lesion. Ahi Evran Med J. 2021;5(3):258-61.
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