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A 30-year-old woman was admitted to the hospital because of intractable seizures.
The patient was born of an uneventful full-term pregnancy. Her first seizure, at the age of 23 years, was characterized by an aura of "dizziness" with a "disconnected" feeling, followed by confusion with impaired consciousness that lasted about two minutes. She continued to have complex partial seizures with occasional secondary generalization despite anticonvulsant medications. Thirty-four months before admission, video electroencephalographic monitoring for five days indicated that the seizures arose from the right temporal region. Electroencephalographic abnormalities consisted of rhythmic activity of up to 6 Hz in the midtemporal
Differential Diagnosis
Clinical Diagnosis
Dr. David W. Roberts's Diagnosis
Pathological Discussion
Anatomical Diagnosis
References
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