Seizure-induced miosis

被引:8
作者
Sadek, Ahmed-Ramadan [1 ,2 ]
Kirkham, Fenella [2 ]
Barker, Simon [2 ]
Gray, William P. [1 ,2 ]
Allen, David [2 ]
机构
[1] Univ Southampton, Sch Med, Div Clin Neurosci, Southampton SO16 6YD, Hants, England
[2] Southampton Univ Hosp NHS Trust, Wessex Neurol Ctr, Southampton, Hants, England
关键词
Epilepsy; Cortical dysplasia; Scalp and intracranial electroencephalography; Pupillary miosis; Resective neurosurgery; CORTICAL DEVELOPMENT; MALFORMATIONS; PUPILLARY; EPILEPSY; ABNORMALITIES; STIMULATION; PTOSIS; CORTEX; BRAIN; MRI;
D O I
10.1111/j.1528-1167.2011.03310.x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Ictal autonomic pupillary dilation is common; however, miosis is rare. We describe a case of focal seizures secondary to cortical dysplasia presenting with bilateral pupillary miosis, rendered seizure free by resective surgery. The seizure-onset zone was localized within the left middle parietal gyrus by intracranial electrographic recording. Seizure onset was coincident with focal left centroparietal fast spike activity on electroencephalography (EEG). A large region of the left frontocentral cortical dysplasia was demonstrated on magnetic resonance imaging (MRI). Complete resection of the area of cortical dysplasia and additional cortical regions of ictal activity, identified using intracranial EEG, rendered the patient seizure free.
引用
收藏
页码:E199 / E203
页数:5
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