A Case of Musicogenic Epilepsy

IF 0.2 Q4 PEDIATRICS Journal of Pediatric Epilepsy Pub Date : 2021-03-10 DOI:10.1055/s-0041-1725993
A. Bhandari, M. Gourie‐Devi, Praveen Kumar, L. Khanna
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Abstract

Abstract Musicogenic epilepsy is a relatively rare form of epilepsy characterized by seizures triggered by specific music experiences, with an estimated prevalence of 1/10,000,000 population. In this article, we reported a case of 12-year-old boy patient with a history of recent onset focal seizures associated with an aura of formed visual hallucinations, feeling of familiarity (déjà vu), and impending fear lasting for seconds to a minute followed by eye blinking, oral automatisms, and unresponsiveness for almost 15 minutes. These episodes, most often, were provoked by music. Video electroencephalogram (EEG) done in our institute was suggestive of reflex musicogenic epilepsy arising from the left anterior temporal lobe. Magnetic resonance imaging of the brain 3T with epilepsy protocol confirmed video EEG findings, with an abnormal signal intensity in the left hippocampal and mesial temporal lobe. Treatment included lifestyle modification and antiepileptic drugs.
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音乐源性癫痫1例
音乐源性癫痫是一种相对罕见的癫痫形式,其特征是由特定的音乐体验引发癫痫发作,估计患病率为千万分之一。在这篇文章中,我们报告了一个12岁的男孩患者,他最近有局灶性癫痫发作的病史,并伴有形成的视觉幻觉、熟悉感(dsamujojovu)和即将到来的恐惧,持续数秒到1分钟,接着是眨眼、口腔自动性和近15分钟的无反应。这些事件通常是由音乐引起的。在我们所做的视频脑电图(EEG)提示反射性音乐源性癫痫起源于左前颞叶。脑磁共振成像3T与癫痫协议证实视频脑电图的发现,与异常信号强度在左侧海马和内侧颞叶。治疗包括改变生活方式和抗癫痫药物。
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期刊介绍: The Journal of Pediatric Epilepsy is an English multidisciplinary peer-reviewed international journal publishing articles on all topics related to epilepsy and seizure disorders, epilepsy surgery, neurology, neurosurgery, and neuropsychology in childhood. These topics include the basic sciences related to the condition itself, the differential diagnosis, natural history, and epidemiology of seizures, and the investigation and practical management of epilepsy (including drug treatment, neurosurgery and non-medical and behavioral treatments). Use of model organisms and in vitro techniques relevant to epilepsy are also acceptable. Journal of Pediatric Epilepsy provides an in-depth update on new subjects and current comprehensive coverage of the latest techniques used in the diagnosis and treatment of childhood epilepsy.
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