Anorexia and the hippocampus: A case report.
| Autor: | Farhadi DS; University of Arizona College of Medicine - Phoenix, Phoenix, AZ, United States., Estofan L; Department of Neurology, University of Cincinnati, Gardner Neuroscience Institute, United States., Privitera M; Department of Neurology, University of Cincinnati, Gardner Neuroscience Institute, United States. |
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| Jazyk: | angličtina |
| Zdroj: | Epilepsy & behavior reports [Epilepsy Behav Rep] 2022 Dec 12; Vol. 21, pp. 100577. Date of Electronic Publication: 2022 Dec 12 (Print Publication: 2023). |
| DOI: | 10.1016/j.ebr.2022.100577 |
| Abstrakt: | Eating disorders have been shown to be associated with epilepsy, typically associated with the temporal lobe and usually of non-dominant hemisphere origin. We report the case of a 56-year-old woman with drug resistant epilepsy, localized to the dominant left hippocampus. She experienced an increasing frequency of seizures over a two-year period associated with loss of appetite and substantial weight loss independent of antiseizure medication changes. Extensive workup eliminated gastrointestinal and paraneoplastic etiologies. There was no history of psychiatric illness, including anorexia nervosa. Pre-surgical workup showed mesial temporal sclerosis on MRI and video-EEG was consistent with ipsilateral medial temporal seizure onset. The patient underwent laser interstitial ablation of the left amygdala and hippocampus, which resulted in a cessation of seizures. Within 24 h of the laser ablation, her appetite returned to normal and, within 8 months she regained 26 lbs. To our knowledge, this is the first case report of a patient with dominant temporal lobe epilepsy with anorexia that was temporally associated with escalating seizure frequency and stopped with treatment and cessation of seizures, suggesting a causal and pathogenic relationship. Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (© 2022 The Authors.) |
| Databáze: | MEDLINE |
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