Acta Medica Medianae (Jan 2000)
MUSICOGENIC EPILEPSY - PRESENTATION OF A CASE
Abstract
The paper presents clinic and electroencephalographic (EEG) findings at the emergance of a partial epileptic fit (EP) of the temporal type in a 36 year old patient who was listening to folk music. The conscience crisis emerged under the conditions of her exposition to a specific music stimulant (SMS) in the tenth minute of the recording during the hvperventilation, while in the EEG findings there were some specific graph elements recorded at the level of the left temporal lobe without any tendency toward generalization. The musicogenic epilepsy (ME) belongs to the group of auditory complex reflex epilepsies in which after a relatively long exposition to the SMS the EPS tend to emerge. In the above-mentioned patient suffering from the MS there are also spontaneous EPS which is also registered in the majority of such patients. It is interesting to note the emergence of the EP self-induction in the analyzed patient while singing some folk songs or imagining respective music. A pathogenesis of the MS is analyzed in view of the fact that the pathophysiological developments at the level of the temporal lobe have an important role. In the comp!ex treatment of this form of epilepsy the most important thing is the avoidance or modification of the SMS while korbamazepine is most often used as an anti-convulsive agent; it is obligatory applied if along with the MS there are also spontaneous EPS emerging
