Localization of pilomotor seizure demonstrated by electroencephalography /functional magnetic resonance imaging

Neurol India. 2010 Sep-Oct;58(5):758-60. doi: 10.4103/0028-3886.72179.

Abstract

We report the first case of a pilomotor seizure detected by electroencephalography /functional magnetic resonance imaging (EEG/fMRI). An adult woman presented with history of bouts of gooseflesh feeling and poilomotor activity in the left leg following viral encephalitis. 24-hour video-EEG and simultaneous EEG during fMRI revealed ictal discharges in the right parietal and temporal lobes. Associated blood oxygen level- dependent (BOLD) activations were found mainly in the right parietal region. The result represents a different generator of pilomotor seizure compared to prior reports. We suggests that the feeling of gooseflesh could be the core ictal symptom and a direct pathway from the sensory cortex to the lower autonomic system may exist bypassing the classic cerebral autonomic center.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Brain Mapping
  • Electroencephalography*
  • Female
  • Humans
  • Image Processing, Computer-Assisted
  • Magnetic Resonance Imaging*
  • Oxygen / blood
  • Parietal Lobe / blood supply*
  • Parietal Lobe / physiopathology*
  • Seizures / pathology
  • Seizures / physiopathology*

Substances

  • Oxygen