Temporal lobe or psychomotor status epilepticus. A case report

Musicogenic Epilepsy: Review of the Literature and Case Report with Ictal Single Photon Emission Computed Tomography

“…Although in this case the onset of musical hallucinations correlated very well with right Heschl's gyrus discharges, the seizure discharges propagated quickly to ipsilateral mesial TL structures (27). Therefore, the case findings are in concordance with the ictal SPECT findings reported herein documenting a right neocortical posterior temporal hypomtabolism and a right anterior and mesial temporal hypermetabolism at the height of the seizure.…”

The clinical spectrum of musical hallucinations

“…Furthermore, musical hallucinations can be found as manifestation of epileptic brain activity, in particular in those types showing abnormal EEG pattern in temporal brain areas [12,92,95]. We detected a total of 15 cases in the recent literature [33,63,69,93,96] and 10 older ones having been listed already by Keshavan et al [2,26,42,50,92] in whom the epileptic brain activity was accused to trigger the musical hallucinations.…”

“…We also considered 10 further cases included in the analysis by Keshavan et al [2,12,52,53,[87][88][89][90][91]. In seven cases, we found concomitant focal brain lesions not incriminated to be the main cause of the musical hallucinations [12,26,33,92,93]. In another 34 of the reported cases, general brain atrophy or not localized pathology could be suspected to act as a cofactor in the aetiology of musical hallucinations [12,27,28,30,[32][33][34]37,46,47,49,51,54,[58][59][60][61]64,65,69,73,78,79,94].…”

Aphasic Status Epilepticus

“…The EEG seizure patterns may be either focal (frequently temporal lobe), or secondarily generalized from a focal lesion; seizures may be continuous or recur rent, as apparent in our subject [Lugaresi et al, 1971;Wieser, 1980;Ballenger et al, 1983]. In the last case, the persistence of the symptoms in the interictal period is obviously essential to the diagnosis of 'status epilepti cus', independently from the nature of the seizures [Gastaut, 1970].…”