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August 19, 2014; 83 (8) Clinical/Scientific Notes

Epileptic kinetopsia localizes to superior parietal lobule and intraparietal sulcus

Madhusoothanan Bhagavathi Perumal, Suganthi Chinnasami, Alexander Shah, Roman Rodionov, Vesela Maglajlija, Anna Miserocchi, Andrew W. McEvoy, Tim Wehner, Beate Diehl
First published July 16, 2014, DOI: https://doi.org/10.1212/WNL.0000000000000709
Madhusoothanan Bhagavathi Perumal
From the National Hospital for Neurology and Neurosurgery, Queen Square, London, UK.
MBBS, MSc
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Suganthi Chinnasami
From the National Hospital for Neurology and Neurosurgery, Queen Square, London, UK.
MMed
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Alexander Shah
From the National Hospital for Neurology and Neurosurgery, Queen Square, London, UK.
MRCP
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Roman Rodionov
From the National Hospital for Neurology and Neurosurgery, Queen Square, London, UK.
PhD
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Vesela Maglajlija
From the National Hospital for Neurology and Neurosurgery, Queen Square, London, UK.
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Anna Miserocchi
From the National Hospital for Neurology and Neurosurgery, Queen Square, London, UK.
MD
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Andrew W. McEvoy
From the National Hospital for Neurology and Neurosurgery, Queen Square, London, UK.
FRCS, SN
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Tim Wehner
From the National Hospital for Neurology and Neurosurgery, Queen Square, London, UK.
MD
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Beate Diehl
From the National Hospital for Neurology and Neurosurgery, Queen Square, London, UK.
MD, PhD
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Epileptic kinetopsia localizes to superior parietal lobule and intraparietal sulcus
Madhusoothanan Bhagavathi Perumal, Suganthi Chinnasami, Alexander Shah, Roman Rodionov, Vesela Maglajlija, Anna Miserocchi, Andrew W. McEvoy, Tim Wehner, Beate Diehl
Neurology Aug 2014, 83 (8) 768-770; DOI: 10.1212/WNL.0000000000000709

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Visual hallucinations are common symptoms of seizures affecting primary and association cortices, and can provide vital information about the ictal onset zone. Epileptic kinetopsia, defined as illusionary movement of stationary objects in the visual field, was reported in a patient with a tumor in the temporal-parietal-occipital (TPO) junction. Intracranial stimulation of TPO junction did not evoke kinetopsia and the site of onset of this phenomenon is unknown.1 We describe a patient with ictal kinetopsia whose seizure onset zone was localized with intracranial EEG.

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  • Supplemental data at Neurology.org

  • Author contributions: M.B. Perumal: conceptualization, interpretation, and preparation of manuscript. S. Chinnasami: conceptualization, data collection, interpretation of investigations, and preparation of manuscript. Dr. Shah: clinical assessments and preparation of manuscripts. Dr. Rodionov: data collection, brain image reconstruction, and analysis. V. Maglajlija: EEG data collection, analysis, and reporting. Dr. Miserocchi: intracranial placement of electrodes, clinical assessment, and data collection. Dr. McEvoy: intracranial placement of electrodes, investigations, and interpretation of data. Dr. Wehner: conceptualization, interpretation of data, and review of manuscript. Dr. Diehl: conceptualization, clinical assessment, interpretation of investigations, and review of manuscript.

  • Study funding: This work was undertaken at UCLH/UCL, which receives a proportion of funding from the Department of Health's NIHR Biomedical Research Centres funding scheme.

  • Disclosure: The authors report no disclosures relevant to the manuscript. Go to Neurology.org for full disclosures.

  • Received December 12, 2013.
  • Accepted in final form April 16, 2014.
  • © 2014 American Academy of Neurology
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