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Epileptic Disorders

, Volume 14, Issue 3, pp 334–339 | Cite as

CryptogenicWest syndrome and subsequent mesial temporal lobe epilepsy

  • Takashi Agari
  • Katsuhiro Kobayashi
  • Kiyoko Watanabe
  • Isao Date
  • Yoko Ohtsuka
Clinical commentary
  • 74 Downloads

Abstract

We report on a male patient who experienced a previously unreported sequence of cryptogenic West syndrome in infancy and subsequent mesial temporal lobe epilepsy. His complex partial seizures were consistently characterised by motionless staring with brief right eye blinking. Scalp electroencephalography (EEG) showed bilateral temporal spikes which were dominant on the right side. Magnetic resonance imaging (MRI) revealed no organic brain lesion. Invasive EEG recording captured seizures with right hippocampal onset. The patient became seizure-free following right temporal lobectomy at 27 years, 8 months of age. Pathological examination of the resected specimen revealed corpora amylacea and gliosis in the temporal cortex but no clear findings of hippocampal sclerosis. It is suggested that an epileptogenic lesion causing MRI-negative mesial temporal lobe epilepsy may give rise to apparent cryptogenic West syndrome in infancy.

Keywords

cryptogenic West syndrome mesial temporal lobe epilepsy corpora amylacea ictal intracranial EEG 

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Copyright information

© John Libbey Eurotext and Springer-Verlag France 2012

Authors and Affiliations

  • Takashi Agari
    • 1
  • Katsuhiro Kobayashi
    • 2
    • 4
  • Kiyoko Watanabe
    • 2
    • 3
  • Isao Date
    • 1
  • Yoko Ohtsuka
    • 2
  1. 1.Department of Neurological SurgeryOkayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences and Okayama University HospitalOkayamaJapan
  2. 2.Department of Child NeurologyOkayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences and Okayama University HospitalOkayamaJapan
  3. 3.Department of PaediatricsKawasaki Rinko General HospitalKawasakiJapan
  4. 4.Department of Child NeurologyOkayama University HospitalOkayamaJapan

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