medigraphic.com
ISSN 2225-4676 (Electronic)

2021, Number 1

<< Back Next >>

Rev Cubana Neurol Neurocir 2021; 11 (1)

Analysis of the sintomatogenic zone in a case of musicogenic epilepsy

Mesa MA, Zapata BJF, Álvarez RJF, Andrade MR, Rojas GICristina

Language: Spanish
References: 22
Page: 1-17
PDF size: 382.22 Kb.


ABSTRACT

Objective: To describe the emotional component that triggers seizures, based on semiology and neurophysiological studies of a percussionist patient with musicogenic epilepsy.
Clinical case: We report a case of a female patient, who is percussionist of an orchestra and suffered from had musicogenic epilepsy. The trigger for her seizures was certain music that generated in her an emotional state of discomfort and produced seizures. This epilepsy greatly affected her quality of life and was drug resistant. She therefore underwent a left temporal lobectomy that allowed her to control seizures and to continue her work in the orchestra.
Conclusions: The characteristics of this case suggest this relationship between emotion and musicogenic epilepsy due to the type of stimulus that triggers the seizures and the structural and functional compromise reported in neurophysiological and neuroimaging studies. This emotional component could contribute to the treatment of this epilepsy. Furthermore, this case shows that the mesial symptomatogenic zone of the temporal lobe is probably related to the emotional aspects of music-induced seizures, which can be of great value in the evaluation of the epileptogenic zone.


REFERENCES

  1. Avanzini G. Musicogenic Seizures. Ann N Y Acad Sci. 2003 [citado: 23/03/2019];999(1):95-102. Disponible en: https://doi.org/10.1196/annals.1284.008

  2. Kaplan PW. Musicogenic epilepsy and epileptic music: a seizure’s song. Epilepsy Behav. 2003;4(5):464-73. Disponible en: https://doi.org/10.1016/S1525-5050(03)00172-0

  3. Pittau F, Tinuper P, Bisulli F, Naldi I, Cortelli P, Bisulli A, et al. Videopolygraphic and functional MRI study of musicogenic epilepsy. A case report and literature review. Epilepsy Behav. 2008;13(4):685-92. Disponible en: https://doi.org/10.1016/j.yebeh.2008.05.004

  4. Mórocz IA, Karni A, Haut S, Lantos G, Liu G. fMRI of triggerable aurae in musicogenic epilepsy. Neurology. 2003 [citado: 11/10/2018];60(4):705-9. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/12601117

  5. Maguire M. Epilepsy and music: practical notes. Pract Neurol. 2017;17(2):86-95. Disponible en: https://doi.org/10.1136/practneurol-2016-001487

  6. Wieser HG, Hungerbühler H, Siegel AM, Buck A. Musicogenic epilepsy: review of the literature and case report with ictal single photon emission computed tomography. Epilepsia. 1997 [citado: 11/10/2018];38(2):200-7. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/9048673

  7. Ellis L. The potential mechanism of musicogenic epilepsy and future research avenues. Biosci Horiz Int J Stud Res. 2017;10. Disponible en: https://doi.org/10.1093/biohorizons/hzx004

  8. Tayah TF, Abou-Khalil B, Gilliam FG, Knowlton RC, Wushensky CA, Gallagher MJ. Musicogenic Seizures Can Arise from Multiple Temporal Lobe Foci: Intracranial EEG Analyses of Three Patients. Epilepsia. 2006;47(8):1402-6. Disponible en: https://doi.org/10.1111/j.1528-1167.2006.00609.x

  9. Sparr SA. Amusia and musicogenic epilepsy. Curr Neurol Neurosci Rep. 2003 [citado:16/01/2019];3(6):502-7. Disponible en: https://doi.org/10.1007/s11910-003-0054-5

  10. Stern J. Musicogenic epilepsy. En: Handbook of Clinical Neurology. Amsterdam: Elsevier; 2015 [citado: 16/01/2019]. p. 469-77. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/B9780444626301000263

  11. Maguire MJ. Music and epilepsy: A critical review. Epilepsia. 2012;53(6):947-61. Disponible en: https://doi.org/10.1111/j.1528-1167.2012.03523.x

  12. Tseng WEJ, Lim SN, Chen LA, Jou SB, Hsieh HY, Cheng MY, et al. Correlation of vocals and lyrics with left temporal musicogenic epilepsy: Left temporal musicogenic epilepsy. Ann N Y Acad Sci. 2018;1423(1):188-97. Disponible en: https://doi.org/10.1111/nyas.13594

  13. Diekmann V, Hoppner AC. Cortical network dysfunction in musicogenic epilepsy reflecting the role of snowballing emotional processes in seizure generation: an fMRI-EEG study. Epileptic Disord. 2014;6(1):31-44. Disponible en: https://doi.org/10.1684/epd.2014.0636

  14. Cheng JY. Musicogenic Epilepsy and Treatment of Affective Disorders: Case Report and Review of Pathogenesis. Cogn Behav Neurol. 2016;29(4):212-6. Disponible en: https://doi.org/10.1097/WNN.0000000000000109

  15. García Casares N, García Arnés JA, Gallego Bazán Y. Conocimiento actual de la epilepsia musicógena: revisión de la literatura científica. Rev Neurol. 2019;69(07). Disponible en: https://doi.org/10.33588/rn.6907.2019229

  16. Pelliccia V, Villani F, Gozzo F, Gnatkovsky V, Cardinale F, Tassi L. Musicogenic epilepsy: A Stereo-electroencephalography study. Cortex. 2019;120:582-7. Disponible en: https://doi.org/10.1016/j.cortex.2019.02.005

  17. Valente KDR, Busatto Filho G. Depression and temporal lobe epilepsy represent an epiphenomenon sharing similar neural networks: clinical and brain structural evidences. Arq Neuropsiquiatr. 2013 [citado: 27/01/2019];71(3):183-90. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/23563720

  18. Xue-Ping W, Hai-Jiao W, Li-Na Z, Xu D, Ling L. Risk factors for drug-resistant epilepsy: A systematic review and meta-analysis. Medicine (Baltimore). 2019;98(30):e16402. Disponible en: https://doi.org/10.1097/MD.0000000000016402

  19. 19.Liu SY, Yang XL, Chen B, Hou Z, An N, Yang MH, et al. Clinical Outcomes and Quality of Life Following Surgical Treatment for Refractory Epilepsy: A Systematic Review and Meta-Analysis. Medicine (Baltimore). 2015;94(6):e500. Disponible en: https://doi.org/10.1097/MD.0000000000000500

  20. Pauli C, Schwarzbold ML, Diaz AP, de Oliveira Thais MER, Kondageski C, Linhares MN, et al. Predictors of meaningful improvement in quality of life after temporal lobe epilepsy surgery: A prospective study. Epilepsia. 2017;58(5):755-63. Disponible en: https://doi.org/10.1111/epi.13721

  21. Leeman-Markowski BA, Schachter SC. Cognitive and Behavioral Interventions in Epilepsy. Curr Neurol Neurosci Rep. 2017;17(5). Disponible en: https://doi.org/10.1007/s11910-017-0752-z

  22. Okudan ZV, Ozkara C. Reflex epilepsy: triggers and management strategies. Neuropsychiatr Dis Treat. 2018;14:327-37. Disponible en: https://doi.org/10.2147/NDT.S107669




2020     |     www.medigraphic.com