Journal article
Localization of musicogenic epilepsy to Heschl's gyrus and superior temporal plane: case report
Journal of neurosurgery, Vol.129(1), pp.157-164
07/2018
DOI: 10.3171/2017.3.JNS162559
PMCID: PMC6207075
PMID: 28946181
Abstract
Musicogenic epilepsy (ME) is an extremely rare form of the disorder that is provoked by listening to or playing music, and it has been localized to the temporal lobe. The number of reported cases of ME in which intracranial electroencephalography (iEEG) has been used for seizure focus localization is extremely small, especially with coverage of the superior temporal plane (STP) and specifically, Heschl’s gyrus (HG). The authors describe the case of a 17-year-old boy with a history of medically intractable ME who underwent iEEG monitoring that involved significant frontotemporal coverage as well as coverage of the STP with an HG depth electrode anteriorly and a planum temporale depth electrode posteriorly. Five seizures occurred during the monitoring period, and a seizure onset zone was localized to HG and the STP. The patient subsequently underwent right temporal neocortical resection, involving the STP and including HG, with preservation of the mesial temporal structures. The patient remains seizure free 1 year postoperatively. To the authors’ knowledge, this is the first reported case of ME in which the seizure focus has been localized to HG and the STP with iEEG monitoring. The authors review the literature on iEEG findings in ME, explain their approach to HG depth electrode placement, and discuss the utility of STP depth electrodes in temporal lobe epilepsy.
Details
- Title: Subtitle
- Localization of musicogenic epilepsy to Heschl's gyrus and superior temporal plane: case report
- Creators
- Yasunori Nagahama - Department of Neurosurgery, University of Iowa Carver College of Medicine, Iowa City, IowaChristopher K Kovach - Department of Neurosurgery, University of Iowa Carver College of Medicine, Iowa City, IowaMichael Ciliberto - Department of Pediatrics, University of Iowa Carver College of Medicine, Iowa City, IowaCharuta Joshi - Department of Pediatrics, University of Iowa Carver College of Medicine, Iowa City, IowaAriane E Rhone - Department of Neurosurgery, University of Iowa Carver College of Medicine, Iowa City, IowaAdam Vesole - Department of Carver College of Medicine, University of Iowa Hospitals and Clinics, University of Iowa Carver College of Medicine, Iowa City, IowaPhillip E Gander - Department of Neurosurgery, University of Iowa Carver College of Medicine, Iowa City, IowaKirill V Nourski - Department of Neurosurgery, University of Iowa Carver College of Medicine, Iowa City, IowaHiroyuki Oya - Department of Neurosurgery, University of Iowa Carver College of Medicine, Iowa City, IowaMatthew A Howard - Department of Neurosurgery, University of Iowa Carver College of Medicine, Iowa City, IowaHiroto Kawasaki - Department of Neurosurgery, University of Iowa Carver College of Medicine, Iowa City, IowaBrian J Dlouhy - Department of Neurosurgery, University of Iowa Carver College of Medicine, Iowa City, Iowa
- Resource Type
- Journal article
- Publication Details
- Journal of neurosurgery, Vol.129(1), pp.157-164
- DOI
- 10.3171/2017.3.JNS162559
- PMID
- 28946181
- PMCID
- PMC6207075
- ISSN
- 0022-3085
- eISSN
- 1933-0693
- Language
- English
- Date published
- 07/2018
- Academic Unit
- Neurology; Stead Family Department of Pediatrics; Iowa Neuroscience Institute; Neurology (Pediatrics); Neurosurgery; Otolaryngology
- Record Identifier
- 9984020651802771
Metrics
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