Abstract
Somatosensory rub reflex epilepsy, evoked by prolonged or repetitive cutaneous contact of a circumscribed body area, is an unusual form of reflex epilepsy. The peculiar complaints and the negative interictal electroencephalographic (EEG) recordings make it difficult to identify the epileptic origin. Here we report an unusual case whose seizures would be evoked by a touch or rub on a unilateral arm and shoulder, with a contralateral temporal lobe origin, demonstrated in immediate postictal single-photon emission computed tomography (SPECT).
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References
Dreifuss FE (1998) Classification of reflex epilepsies and reflex seizures. Adv Neurol 75:5–13
Kanemoto K, Watanabe Y, Tsuji T, Fukami M, Kawasaki J (2001) Rub epilepsy: a somatosensory evoked reflex epilepsy induced by prolonged cutaneous stimulation. J Neurol Neurosurg Psychiatry 70:541–543
Oommen KJ, Saba S, Oomen JA, Francel PC, Arnold CD, Wilson DA (2004) The relative localizing value of interictal and immediate postictal SPECT in seizures of temporal lobe origin. J Nucl Med 45:2021–2025
Erickson JC, Clapp LE, Ford G, Jabbari B (2006) Somatosensory auras in refractory temporal lobe epilepsy. Epilepsia 47:202–206
Fish DR, Gloor P, Quesney FL, Olivier A (1993) Clinical responses to electrical brain stimulation of the temporal and frontal lobes in patients with epilepsy. Pathophysiological implications. Brain 116:397–414
Augustine JR (1996) Circuitry and functional aspects of the insular lobe in primates including humans. Brain Res Brain Res Rev 22:229–244
Craig AD, Zhang ET (2006) Retrograde analyses of spinothalamic projections in the macaque monkey: input to posterolateral thalamus. J Comp Neurol 499:953–964
Dupont S, Bouilleret V, Hasboun D, Semah F, Baulac M (2003) Functional anatomy of the insula: new insights from imaging. Surg Radiol Anat 25:113–119
Acknowledgments
The authors gratefully acknowledge all the staff in the Department of Neurology, National Cheng Kung University Hospital for the critical comments on this manuscript. Part of this study was published in the abstract form in the annual meeting of Taiwan Neurological Society, Tainan, 2008.
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Hsieh, CY., Chiou, NJ., Wu, YJ. et al. Somatosensory rub evoked reflex epilepsy of a temporal lobe origin. Neurol Sci 32, 297–299 (2011). https://doi.org/10.1007/s10072-010-0383-5
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DOI: https://doi.org/10.1007/s10072-010-0383-5