Teaching Neuro Images Neurology Resident and Fellow Section Triplett et al VIGNETTE A 54yearold righthanded female was referred for evaluation of drug resistant epilepsy Aged 16 while riding in a park in ID: 779188
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Slide1
A 54 year-old female with refractory partial seizures.
Teaching NeuroImagesNeurology Resident and Fellow Section
Triplett, et al
Slide2VIGNETTE
A 54-year-old right-handed female was referred for evaluation of drug resistant epilepsy. Aged 16, while riding in a park in Perth, Western Australia she was thrown from her horse, which had been startled by a rogue camel. There was no significant head injury but the patient subsequently noted a “clicky” jaw. Aged 37 she developed episodes involving a sense of disconnection followed by dysphasia.
Triplett, et al
Slide3IMAGING
Triplett, et al
Slide4EEG
Triplett, et al
Slide5The camel and the jawbone: a cautionary tale
EEG showed left temporal epileptiform abnormalitiesImaging confirmed the displaced mandibular condyle with associated gliosis as the epileptogenic focus. Seizures related to displacement of the temporomandibular joint into the temporal lobe have been reported, but not as a result of trauma1.
Triplett, et al