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What’s behind drawing for an artist with left temporal lobe epilepsy? A multimodal neurophysiological study
There are few studies in literature reporting drawing as a strong trigger of praxis-induced focal seizures. The aim of the present case report was describing a case of focal epilepsy with praxis induced EEG activation, due to a cavernoma, in the left middle anterior temporal lobe by using a multimod...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7788090/ https://www.ncbi.nlm.nih.gov/pubmed/33437962 http://dx.doi.org/10.1016/j.ebr.2020.100418 |
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author | Pauletto, Giada Guarracino, Ilaria Nilo, Annacarmen Ius, Tamara Maieron, Marta Verriello, Lorenzo Skrap, Miran Gigli, Gian Luigi Tomasino, Barbara |
author_facet | Pauletto, Giada Guarracino, Ilaria Nilo, Annacarmen Ius, Tamara Maieron, Marta Verriello, Lorenzo Skrap, Miran Gigli, Gian Luigi Tomasino, Barbara |
author_sort | Pauletto, Giada |
collection | PubMed |
description | There are few studies in literature reporting drawing as a strong trigger of praxis-induced focal seizures. The aim of the present case report was describing a case of focal epilepsy with praxis induced EEG activation, due to a cavernoma, in the left middle anterior temporal lobe by using a multimodal approach. We combined video-EEG, showing that drawing increased a sustained monomorphic delta activity localized on left anterior temporal region (F7-T1a), diffusing to the vertex (Fz) and the fronto-polar electrodes (F3), with DTI data, showing that the left uncinate fasciculus, connecting the temporal pole to the orbitofrontal cortex, significantly differed from controls. fMRI confirmed that drawing increased activation in these areas. The congruence between findings supports the role of the left uncinated fasciculus linking the temporal lobe to the orbitofrontal cortex in the present focal epilepsy mainly facilitated by drawing. |
format | Online Article Text |
id | pubmed-7788090 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-77880902021-01-11 What’s behind drawing for an artist with left temporal lobe epilepsy? A multimodal neurophysiological study Pauletto, Giada Guarracino, Ilaria Nilo, Annacarmen Ius, Tamara Maieron, Marta Verriello, Lorenzo Skrap, Miran Gigli, Gian Luigi Tomasino, Barbara Epilepsy Behav Rep Article There are few studies in literature reporting drawing as a strong trigger of praxis-induced focal seizures. The aim of the present case report was describing a case of focal epilepsy with praxis induced EEG activation, due to a cavernoma, in the left middle anterior temporal lobe by using a multimodal approach. We combined video-EEG, showing that drawing increased a sustained monomorphic delta activity localized on left anterior temporal region (F7-T1a), diffusing to the vertex (Fz) and the fronto-polar electrodes (F3), with DTI data, showing that the left uncinate fasciculus, connecting the temporal pole to the orbitofrontal cortex, significantly differed from controls. fMRI confirmed that drawing increased activation in these areas. The congruence between findings supports the role of the left uncinated fasciculus linking the temporal lobe to the orbitofrontal cortex in the present focal epilepsy mainly facilitated by drawing. Elsevier 2020-12-31 /pmc/articles/PMC7788090/ /pubmed/33437962 http://dx.doi.org/10.1016/j.ebr.2020.100418 Text en © 2020 The Author(s) http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Article Pauletto, Giada Guarracino, Ilaria Nilo, Annacarmen Ius, Tamara Maieron, Marta Verriello, Lorenzo Skrap, Miran Gigli, Gian Luigi Tomasino, Barbara What’s behind drawing for an artist with left temporal lobe epilepsy? A multimodal neurophysiological study |
title | What’s behind drawing for an artist with left temporal lobe epilepsy? A multimodal neurophysiological study |
title_full | What’s behind drawing for an artist with left temporal lobe epilepsy? A multimodal neurophysiological study |
title_fullStr | What’s behind drawing for an artist with left temporal lobe epilepsy? A multimodal neurophysiological study |
title_full_unstemmed | What’s behind drawing for an artist with left temporal lobe epilepsy? A multimodal neurophysiological study |
title_short | What’s behind drawing for an artist with left temporal lobe epilepsy? A multimodal neurophysiological study |
title_sort | what’s behind drawing for an artist with left temporal lobe epilepsy? a multimodal neurophysiological study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7788090/ https://www.ncbi.nlm.nih.gov/pubmed/33437962 http://dx.doi.org/10.1016/j.ebr.2020.100418 |
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