Ein Fall von isoliertem epileptischem Nystagmus

Translated title of the contribution: A Case of Isolated Epileptic Nystagmus

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Abstract

The case of a 28-year-old male patient with epileptic nystagmus is described and the results of the electrophysiological evaluation are presented. The EEG equivalent of the clinical course of the fits with an indifferent aura (a), jerking nystagmus with a slight rotatory component to the left (b), and slow disappearance of a complete visual blackout with porroscopy (c) consisted of focal spikes originating from the right occipital lobe (a), desynchronization without paroxysmal potentiale during the nystagmus (b), and finally a prolonged discharge of regular alpha spikes (c). The ENG during the fit showed a quite regular nystagmus directed to the left; otherwise the optokinetic nystagmus was normal. The neurological and neuroradiological status was entirely normal. Contrary to all the other cases hitherto reported there are no concurrent symptoms like impaired consciousness or motor activity (e. g. deviations of the eyes or the head, facial cloni, etc.) On the basis of the course of the fits a microlesion in the right occipital lobe appears to be the presumable cause.

Translated title of the contributionA Case of Isolated Epileptic Nystagmus
Original languageGerman
Pages (from-to)125-132
Number of pages8
JournalDeutsche Zeitschrift für Nervenheilkunde
Volume197
Issue number2
DOIs
StatePublished - Jun 1970
Externally publishedYes

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