Department of Neurology, National Taiwan University Hospital Yunlin Branch, Yunlin, Taiwan.
Department of Neurology, Tainan Sin-Lau Hospital, Tainan, Taiwan.
J Int Med Res. 2023 Aug;51(8):3000605231187801. doi: 10.1177/03000605231187801.
Temporal lobe epilepsy is the most common focal epilepsy syndrome and has a broad spectrum of presentations. Nevertheless, isolated vestibular symptoms without other symptoms typical of temporal lobe seizures are relatively rare. Here, we report one female patient who suffered from chronic refractory vertigo and had inappropriate pharmacotherapy for several years. Eventually, epileptic vertigo and dizziness (ictal vertigo) were accurately diagnosed by detailed history taking and serial examinations assisted by sphenoid electroencephalography. Awareness of this unique syndrome is important in the diagnosis of patients with epileptic vertigo and dizziness.
颞叶癫痫是最常见的局灶性癫痫综合征，其表现谱广泛。然而，没有颞叶癫痫其他典型症状的孤立性前庭症状相对较少。在此，我们报告了一例女性患者，她患有慢性难治性眩晕，并接受了数年不当的药物治疗。最终，通过详细的病史采集和蝶骨脑电图辅助的系列检查，准确诊断为癫痫性眩晕和头晕（发作性眩晕）。了解这种独特的综合征对于癫痫性眩晕和头晕患者的诊断很重要。
