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Magnetic Resonance Imaging and Electroencephalographic Localization of Originating Focus

Carlo G. Brogna, MD; Soo Ik Lee, MD; Fritz E. Dreifuss, MB, FRCP, FRACP

Arch Neurol. 1986;43(10):1085-1086.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Pilomotor seizures are a dramatic and rare manifestation of epilepsy. In a review of 100 cases of visceral epilepsy,¹ only two patients had pilomotor erection as part of the seizure phenomena. Since the first description by Féré^2,3 at the turn of the century, there have been only five other reported cases to our knowledge.^4-8 We have studied a new case lending insight into the mechanism of piloerection and demonstrating the usefulness of nasopharyngeal electroencephalographic (EEG) recording and magnetic resonance imaging (MRI) in the evaluation of a patient with pilomotor seizures.

REPORT OF A CASE

A 58-year-old right-handed man suddenly began to have pilomotor seizures every 30 minutes for several days. These consisted of recurrent episodes of piloerection, ascending the arms to the neck and head, and concomitantly he noted epigastric tingling lasting 30 seconds without change in consciousness. Results of a neurologic examination and routine laboratory . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Neurology, University of Virginia School of Medicine, Charlottesville.

Footnotes
Accepted for publication June 3, 1986.

Reprint requests to Department of Neurology, Box 394, University of Virginia School of Medicine, Charlottesville, VA 22908 (Dr Lee).

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