Department of Neurology, West China Hospital, Si Chuan University, Cheng du, Sichuan - 610 041, China.
Neurol India. 2010 Sep-Oct;58(5):758-60. doi: 10.4103/0028-3886.72179.
We report the first case of a pilomotor seizure detected by electroencephalography /functional magnetic resonance imaging (EEG/fMRI). An adult woman presented with history of bouts of gooseflesh feeling and poilomotor activity in the left leg following viral encephalitis. 24-hour video-EEG and simultaneous EEG during fMRI revealed ictal discharges in the right parietal and temporal lobes. Associated blood oxygen level- dependent (BOLD) activations were found mainly in the right parietal region. The result represents a different generator of pilomotor seizure compared to prior reports. We suggests that the feeling of gooseflesh could be the core ictal symptom and a direct pathway from the sensory cortex to the lower autonomic system may exist bypassing the classic cerebral autonomic center.
我们报告了首例通过脑电图/功能磁共振成像（EEG/fMRI）检测到的竖毛肌发作。一名成年女性因病毒性脑炎后出现左腿寒颤感和竖毛肌活动，呈阵发性发作而就诊。24 小时视频脑电图和 fMRI 时同步脑电图显示右顶叶和颞叶有发作性放电。相关血氧水平依赖（BOLD）激活主要位于右顶叶区域。结果与先前的报告不同，代表了一种不同的竖毛肌发作起源。我们推测寒颤感可能是核心发作症状，并且可能存在从感觉皮层到下自主神经系统的直接通路，绕过经典的大脑自主中枢。
