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An unusual presentation of epilepsy

Published online by Cambridge University Press:  28 March 2011

F J Uddin
Affiliation:
Department of Otorhinolaryngology, Queen's Medical Centre, Nottingham, UK
C Nogueira*
Affiliation:
Department of Otorhinolaryngology, Queen's Medical Centre, Nottingham, UK
A Sama
Affiliation:
Department of Otorhinolaryngology, Queen's Medical Centre, Nottingham, UK
*
Address for correspondence: Miss C Nogueira, Department of Otorhinolaryngology, Queen's Medical Centre, Nottingham NG7 2UH, UK E-mail: claudia.nogueira@nuh.nhs.uk

Abstract

Objective:

To report a case of fluctuating hearing due to auditory aura, as an unusual presentation of temporal lobe epilepsy.

Methods:

Case report and review of English language literature on temporal lobe epilepsy and auditory aura.

Results:

A 31-year-old man presented with intermittent symptoms of bilateral fullness in the ears associated with deafness. He was subsequently diagnosed with temporal lobe epilepsy. Further enquiry revealed a family history of epilepsy.

Conclusion:

Auditory aura as a presentation of temporal lobe epilepsy is rarely encountered in otolaryngological practice. This case highlights the importance of obtaining detailed information on epilepsy, including any family history of epilepsy, as a routine part of history-taking in patients presenting with fluctuating hearing loss.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 2011

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References

1Burneo, JG, Tellez-Zenteno, J, Wiebe, S. Understanding the burden of epilepsy in Latin America: a systematic review of its prevalence and incidence. Epilepsy Res 2005;66:6374CrossRefGoogle ScholarPubMed
2Florindo, I, Bisulli, F, Pittau, F, Naldi, I, Striano, P, Striano, S et al. Lateralizing value of the auditory aura in partial seizures. Epilepsia 2006;47:6872CrossRefGoogle ScholarPubMed
3Hogan, RE, Kaiboriboon, K. John Hughlings-Jackson's writings on the auditory aura and localization of the auditory cortex. Epilepsia 2004;45:834–7CrossRefGoogle ScholarPubMed
4Alvarez-Silva, S, Alvarez-Silva, I, Alvarez-Rodriguez, J, Perez-Echeverria, MJ, Campayo-Martinez, A, Rodriguez-Fernandez, FL. Epileptic consciousness: concept and meaning of aura. Epilepsy Behav 2006;8:527–33CrossRefGoogle ScholarPubMed
5Clarke, DF, Otsubo, H, Weiss, SK, Chitoku, S, Chuang, SH, Logan, WJ et al. The significance of ear plugging in localization-related epilepsy. Epilepsia 2003;44:1562–7CrossRefGoogle ScholarPubMed
6Penfield, W, Perot, P. The brain's record of auditory and visual experience. A final summary and discussion. Brain 1963;86:595696CrossRefGoogle ScholarPubMed
7Mohamed, IS, Otsubo, H, Pang, E, Chuang, SH, Rutka, JT, Dirks, P et al. Magnetoencephalographic spike sources associated with auditory auras in paediatric localisation-related epilepsy. J Neurol Neurosurg Psychiatry 2006;77:1256–61CrossRefGoogle ScholarPubMed
8Bisulli, F, Tinuper, P, Avoni, P, Striano, P, Striano, S, d'Orsi, G et al. Idiopathic partial epilepsy with auditory features (IPEAF): a clinical and genetic study of 53 sporadic cases. Brain 2004;127:1343–52CrossRefGoogle ScholarPubMed
9Vadlamudi, L, Scheffer, IE, Berkovic, SF. Genetics of temporal lobe epilepsy. J Neurol Neurosurg Psychiatry 2003;74:1359–61CrossRefGoogle ScholarPubMed