Abstract
Piloerection is a rare ictal manifestation usually associated with temporal lobe epilepsy. We present video and electrographic documentation of pilomotor seizures in a 75-year-old man with left temporal lobe epilepsy and remote herpes zoster encephalitis. In general, piloerection is most often localised to the temporal lobe. Unilateral piloerection is usually associated with an ipsilateral ictal onset. Bilateral piloerection has a less certain lateralising value, although earlier reports suggest left hemispheric predominance.
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References
Benarroch EE. The central autonomic network: functional organization, dysfunction, and perspective. Mayo Clin Proc 1993; 68: 988–1001.
Loddenkemper T, Kellinghaus C, Gandjour J, et al. Localising and lateralising value of ictal piloerection. J Neurol Neurosurg Psychiatry 2004; 75: 879–883.
Masnou P, Gagnepain JP, Fouad A, Ducreux D, Adams D. Pilomotor seizures associated with sequential changes in magnetic resonance imaging. Epileptic Disord 2006; 8: 232–237.
Seo DW, Lee HS, Hong SB, Hong SC, Lee EK. Pilomotor seizures in frontal lobe epilepsy: case report. Seizure 2003; 12: 241–244.
Stefan H, Pauli E, Kerling F, Schwarz A, Koebnick C. Autonomic auras: left hemispheric predominance of epileptic generators of cold shivers and goose bumps? Epilepsia 2002; 43:41–45.
Stefan H, Feichtinger M, Black A. Autonomic phenomena of temperature regulation in temporal lobe epilepsy. Epilepsy Behav 2003; 4: 65–69.
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Haykal, M.A., Abou-Khalil, B. Pilomotor seizures: a video case report. Epileptic Disord. 14, 76–79 (2012). https://doi.org/10.1684/epd.2012.0496
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DOI: https://doi.org/10.1684/epd.2012.0496