Vestibular epilepsy refers to recurrent seizures that cause dizziness/vertigo as a
sole or predominant symptom [
[1]
]. It is due to epileptic discharges from the vestibular cortices mostly residing in
the temporal [
[2]
] or temporo-parietal areas [
3
,
4
,
5
] but also in the frontal cortex [
[6]
]. Cerebral cavernous malformations, an enlarged collection of vascular channels invading
adjacent brain tissue, mostly present with recurrent seizures in the supratentorial
areas. Vestibular epilepsy has been reported in oligodendroglioma [
[7]
] and astrocytoma [
[6]
], but has not been described in association with a cavernous malformation. Herein,
we describe a patient with recurrent spontaneous vertigo from a small temporal cavernous
malformation that had escaped detection for several years.To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of the Neurological SciencesAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Vestibular epilepsy. Vertigo: its multisensory syndromes.Springer, London1991: 91-97
- Epileptic dizziness.Br Med J (Clin Res Ed). 1981; 282: 687-689
- Rotational vestibular epilepsy from the temporo-parieto-occipital junction.Neurology. 2005; 65: 1675-1676
- Benign temporo-parieto-occipital junction epilepsy with vestibular disturbance: an underrecognized form of epilepsy?.Epilepsy Behav. 2011; 21: 412-416
- Epileptic nystagmus: a case report and systematic review.Epilepsy Behav Case Rep. 2014; 2: 156-160
- Epileptic vertigo: evidence for vestibular representation in human frontal cortex.Neurology. 2000; 55: 1906-1908
- Abnormal self-location and vestibular vertigo in a patient with right frontal lobe epilepsy.Epilepsy Behav. 2010; 17: 289-292
- The vestibular cortex: its locations, functions, and disorders.Ann N Y Acad Sci. 1999; 871: 293-312
- Reappraisal of the human vestibular cortex by cortical electrical stimulation study.Ann Neurol. 2003; 54: 615-624
- Clinical course and prognosis of temporal lobe epilepsy. A survey of 666 patients.Brain. 1971; 94: 173-190
Article info
Publication history
Published online: March 21, 2015
Accepted:
March 12,
2015
Received in revised form:
March 11,
2015
Received:
January 21,
2015
Identification
Copyright
© 2015 Elsevier B.V. Published by Elsevier Inc. All rights reserved.