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Titolo:
A case of occipital epilepsy in an elderly woman
Autore:
Tonon, C; Stracciari, A; Garutti, C; Vignatelli, L; DAlessandro, R;
Indirizzi:
Univ Bologna, S Orsola M Malpighi Hosp, Neurol Serv, I-40138 Bologna, Italy Univ Bologna Bologna Italy I-40138 , Neurol Serv, I-40138 Bologna, Italy Univ Bologna, S Orsola M Malpighi Hosp, Dept Internal Med, I-40138 Bologna, Italy Univ Bologna Bologna Italy I-40138 Internal Med, I-40138 Bologna, Italy
Titolo Testata:
ARCHIVES OF GERONTOLOGY AND GERIATRICS
, , anno: 2001, supplemento:, 7
pagine: 395 - 400
SICI:
0167-4943(2001):<395:ACOOEI>2.0.ZU;2-2
Fonte:
ISI
Lingua:
ENG
Soggetto:
LOBE EPILEPSY;
Keywords:
visual hallucinations; hemianopia; occipital epilepsy; non convulsive status epilepticus;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Life Sciences
Citazioni:
4
Recensione:
Indirizzi per estratti:
Indirizzo: Tonon, C Univ Bologna, S Orsola M Malpighi Hosp, Neurol Serv, Via Albertoni,15, I-40138 Bologna, Italy Univ Bologna Via Albertoni,15 Bologna Italy I-40138 logna, Italy
Citazione:
C. Tonon et al., "A case of occipital epilepsy in an elderly woman", ARCH GER G, 2001, pp. 395-400

Abstract

A 73-year-old woman experienced stereotype episodes of complex visual hallucinations over five months. Initially, they were rare and consisted of pleasant static pictures emerging from the left visual field, usually lasting 5 to 10 seconds. Subsequently, they became moving, tormenting pictures recurring several times a day. On admission, neurological examination revealed reduced contact, nystagmus with fast phase to the left and a left homonymous hemianopia. Electroencephalography (EEG) demonstrated recurrent epilepticdischarges starting from the right occipital lobe. The EEG showed sporadicoccipital epileptiform activity during the attack-free periods. Phenytoin therapy stopped the seizures and normalized the EEG. An ischemic lesion in the right occipital lobe was detected on cerebral magnetic resonance imaging (MRI) with gadolinium. She continued antiepileptic treatment without recurrence of seizures in the following nine months. This observation of vascular damage-related occipital seizures indicates that epilepsy may be the cause of misdiagnosed behavioral and cognitive disturbances in the elderly. Its prompt recognition is important, since treatment may resolve this type ofdisorder.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/03/20 alle ore 10:53:22