Left thalamomegaly in a patient with partial epilepsy

Giacomo Della Marca, Catello Vollono, Diana Ferraro, Paolo Mariotti, Marianna Mazza, Salvatore Mazza, Luigi Ferini Strambi

Risultato della ricerca: Contributo in rivistaArticolo in rivistapeer review

Abstract

Temporal lobe epilepsy (TLE) is associated with modification in thalamic structure and function. In particular, thalamic atrophy and hypometabolism can occur, affecting ipsilateral, contralateral thalami or both. We describe a 28-year-old epileptic woman, who presented peculiar neuroimaging findings, with enlargement of the thalamus contralateral to the epileptic focus. The patient was born from dystocic delivery, she presented partial motor seizures in the left side of the body, followed by generalisation, and the EEG showed a right temporal epileptic focus. Serial CT and MRI scan, performed along 11 years, showed a non-evolutive left thalamomegaly. 18-FDG PET showed reduced metabolic activity in the upper right temporal gyrus and in the ipsilateral thalamus. Thalamic asymmetry in our patient could be an occasional finding.
Lingua originaleEnglish
pagine (da-a)298-301
Numero di pagine4
RivistaClinical Neurology and Neurosurgery
Stato di pubblicazionePubblicato - 2008

Keywords

  • partial epilepsy
  • thalamomegaly

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