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Simple Partial Status of Forced Thinking Originated in the Mesial Temporal Region: Intracranial Foramen Ovale Electrode Recording and Ictal PET

Authors
 Yang-Je Cho ; Sook Keun Song ; Kyoung Heo ; Byung In Lee ; Jin Woo Chang ; Sang Hyun Jang 
Citation
 Journal of Epilepsy Research, Vol.1(2) : 77~80, 2011 
Journal Title
 Journal of Epilepsy Research 
ISSN
 2233-6249 
Issue Date
2011
Abstract
Forced thinking (FT) is a rare epileptic phenomenon which is usually seen in patients with frontal lobe epilepsy. We report a rare case of mesial temporal lobe epilepsy presenting FT as simple partial status epilepticus. A 50-year-old woman with left hippocampal sclerosis developed a prolonged episode of continuous FT for five days after she experienced a clustering of complex partial seizures during the period of preoperative video-electroencephalography (EEG) monitoring. The EEG demonstrated continuous focal ictal discharges in the left foramen ovale electrodes. Positron emission tomography showed focal glucose hypermetabolism in the left mesial temporal region. This case indicates that the anatomical substrate for the development of FT is located in the mesial temporal region as well as the frontal lobe, and prolonged FT can occur as a seizure manifestation.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/95173
DOI
10.14581/jer.11015
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Neurosurgery
1. 연구논문 > 1. College of Medicine > Dept. of Neurology
Yonsei Authors
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Link
 http://www.j-epilepsy.org/journal/view.php?number=15
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