A Case of Volvular Epileptic Seizure Associated with Intracranial Cortical Lesion

Abstract

Volvular epileptic seizure is characterized by walking repetitively in small circles and it is a rare kind of seizure. It is a result of focal epileptic activity. It could coexist with adversive seizures but it is considered as a separate seizure semiology. Volvular seizures may occur due to primary epileptic syndrome or secondary to an intracranial lesion. Volvular seizures are mostly seen in frontal lobe lesions, whereas it can be associated with temporal, parietal, or occipital lesions. We report a case who has volvular epilepsy started at age of 55 due to an intracranial lesion which we considered and treated as an autoimmune lesion and controlled his resistant epilepsy. New onset epileptic seizures can be caused by autoimmune etiology.

Keywords

• autoimmune epilepsy
• volvular epilepsy
• volvular seizure