Hippocampal Malrotation Presenting With Treatment-Resistant Insomnia: A Case Report

Cureus. 2023 Sep 27;15(9):e46051. doi: 10.7759/cureus.46051. eCollection 2023 Sep.

Abstract

A frequent complaint in medical settings is insomnia. Chronic insomnia is defined as the occurrence of sleep disturbance symptoms for a period of three months, three times per week, and in conjunction with at least one daytime symptom. In the case study, a young man with a documented seizure disorder underwent a thorough evaluation for chronic sleeplessness. Electroencephalograms, sleep investigations, and drug reviews were unsuccessful in determining the cause. Nonetheless, it was found that there was bilateral hippocampal malrotation. This link is distinct and hasn't been mentioned as a possible cause before.

Keywords: chronic insomnia; hippocampal malrotation; incomplete hippocampal inversion; seizure; sleep disorder.

Publication types

  • Case Reports