Journal of International Medical Research (Aug 2023)

Unilateral non-lesional temporal lobe epilepsy presenting as isolated ictal vertigo: a case report

  • Chih-Hung Tsai,
  • Tsang-Shan Chen,
  • Ming-Chi Lai,
  • Chin-Wei Huang

DOI
https://doi.org/10.1177/03000605231187801
Journal volume & issue
Vol. 51

Abstract

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Temporal lobe epilepsy is the most common focal epilepsy syndrome and has a broad spectrum of presentations. Nevertheless, isolated vestibular symptoms without other symptoms typical of temporal lobe seizures are relatively rare. Here, we report one female patient who suffered from chronic refractory vertigo and had inappropriate pharmacotherapy for several years. Eventually, epileptic vertigo and dizziness (ictal vertigo) were accurately diagnosed by detailed history taking and serial examinations assisted by sphenoid electroencephalography. Awareness of this unique syndrome is important in the diagnosis of patients with epileptic vertigo and dizziness.