Journal
EPILEPSIA
Volume 47, Issue 8, Pages 1402-1406Publisher
BLACKWELL PUBLISHING
DOI: 10.1111/j.1528-1167.2006.00609.x
Keywords
music; reflex epilepsy; epilepsy surgery; electroencephalography; corticography; magnetoencephalography; magnetic resonance spectroscopy
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Funding
- NINDS NIH HHS [K24 NS047551] Funding Source: Medline
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Purpose: To determine the ictal-onset zone of musicogenic seizures by using intracranial EEG monitoring. Methods: Musicogenic seizures in three patients with medically intractable musicogenic epilepsy were first localized by using noninvasive methods including, in one patient, ictal magnetoencephalography (MEG) and magnetic resonance spectroscopy (MRS). The ictal-onset zones in these patients were then further localized using by intracranial EEG monitoring, and the outcomes of the two patients who underwent epilepsy surgery were determined. Results: Patient 1's musicogenic seizures localized to the right lateral temporal lobe, patient 2's originated in the right mesial temporal lobe, and patient 3's arose independently from both mesial temporal lobes. Patients 1 and 2 underwent resective epilepsy surgery and are seizure free (Engel class I). Conclusions: Musicogenic epilepsy is a heterogeneous syndrome with seizures that can arise from multiple temporal lobe foci. Patients with medically intractable musicogenic epilepsy and with unilateral ictal onset zones may be considered candidates for resective epilepsy surgery.
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