PMID- 15939437 OWN - NLM STAT- MEDLINE DCOM- 20050919 LR - 20161124 IS - 0022-510X (Print) IS - 0022-510X (Linking) VI - 234 IP - 1-2 DP - 2005 Jul 15 TI - Frontal nonconvulsive status epilepticus manifesting somatic hallucinations. PG - 25-9 AB - Somatic hallucinations are subjective experience of false, strange sensations of things occurring in or to the body. They can be seen in psychotic disorders, but have not been well described as an ictal psychosis in patients with nonconvulsive status epilepticus (NCSE) of frontal origin. We reported a 69-year-old woman who had NCSE of frontal origin manifesting prolonged somatic hallucinations mimicking a psychiatric disorder and initially treated as such. Ictal EEG revealed the frontal focus and ictal single-photon emission computed tomography (SPECT) showed the activation, not only in the frontal area but also in the parietal area as the projected regions, both of which might be associated with the development of her symptoms. She also had two generalized tonic-chronic seizures out of psychosis. Her psychosis and ictal rhythmic discharges on EEG ceased with valproate and she has since remained free from the symptoms. The current case suggests that long-lasting somatic hallucinations could be an ictal psychosis in frontal NCSE and thus an EEG study is needed for an early diagnosis and treatment. FAU - Takaya, Shigetoshi AU - Takaya S AD - Human Brain Research Center, Kyoto University Graduate School of Medicine, Kyoto, Japan; Kisshoin Hospital, Kyoto, Japan. FAU - Matsumoto, Riki AU - Matsumoto R FAU - Namiki, Chihiro AU - Namiki C FAU - Kiyosu, Hayaki AU - Kiyosu H FAU - Isono, Osamu AU - Isono O FAU - Hashikawa, Kazuo AU - Hashikawa K FAU - Ikeda, Akio AU - Ikeda A FAU - Fukuyama, Hidenao AU - Fukuyama H LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Netherlands TA - J Neurol Sci JT - Journal of the neurological sciences JID - 0375403 SB - IM CIN - J Neurol Sci. 2014 Feb 15;337(1-2):240-2. PMID: 24300229 MH - Aged MH - Brain Mapping MH - Electroencephalography/methods MH - Epilepsy, Generalized/diagnostic imaging/*physiopathology MH - Female MH - Frontal Lobe/diagnostic imaging/*physiopathology MH - Hallucinations/diagnostic imaging/*etiology MH - Humans MH - Imaging, Three-Dimensional/methods MH - Tomography, Emission-Computed, Single-Photon/methods EDAT- 2005/06/09 09:00 MHDA- 2005/09/20 09:00 CRDT- 2005/06/09 09:00 PHST- 2004/09/14 00:00 [received] PHST- 2005/01/03 00:00 [revised] PHST- 2005/02/21 00:00 [accepted] PHST- 2005/06/09 09:00 [pubmed] PHST- 2005/09/20 09:00 [medline] PHST- 2005/06/09 09:00 [entrez] AID - S0022-510X(05)00110-3 [pii] AID - 10.1016/j.jns.2005.02.014 [doi] PST - ppublish SO - J Neurol Sci. 2005 Jul 15;234(1-2):25-9. doi: 10.1016/j.jns.2005.02.014.