Ictal sensory periodic lateralized epileptiform discharges

Epilepsy Behav. 2011 Dec;22(4):796-8. doi: 10.1016/j.yebeh.2011.09.020. Epub 2011 Oct 22.

Abstract

We describe the case of a 74-year-old man with left parietal arteriovenous malformation (AVM) and cerebral white matter radiation necrosis who developed persistent subjective right-sided groin pulsations. The EEG revealed left parietal periodic lateralized epileptiform discharges (PLEDs) time-locked to these sensations, confirming that the patient's symptoms represented sensory seizures with ictal PLEDs as the electrographic correlate. To our knowledge, this is the first reported case of ictal PLEDs manifesting as sensory seizures.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Arteriovenous Malformations / complications
  • Cerebral Cortex / pathology
  • Electroencephalography
  • Functional Laterality / physiology*
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Nerve Fibers, Myelinated / pathology
  • Seizures / etiology*
  • Seizures / pathology