This article requires a subscription to view the full text. If you have a subscription you may use the login form below to view the article. Access to this article can also be purchased.
Humans likely have multiple cortical areas for processing vestibular information rather than a primary vestibular cortex.1 The parietal, temporal, and frontal lobes contain areas that receive vestibular input, with the temporo-perisylvian vestibular cortex having a dominant role.2
Cortical stimulation studies and naturally occurring lesions such as strokes have helped map the human vestibular cortex. Alternatively, partial seizures can serve as a natural form of cortical stimulation for mapping human cortical function. Ictal EEG recordings demonstrate that the posterior portion of the middle frontal gyrus receives rotational vestibular input and can serve as the focus for epileptic rotational vertigo.3 Although previous studies implicate the parieto-temporal area as a focus for vestibular epilepsy,4 direct clinical evidence is lacking. We report a boy with partial epilepsy characterized by rotational vertigo and ipsilateral head and eye deviation with jerking eye movements triggered visually following a moving object.
Case report.
An otherwise healthy, developmentally normal 8-year-old boy was evaluated for a 3-year history of episodes of dizziness and eye jerking. These episodes lasted <1 …
AAN Members
We have changed the login procedure to improve access between AAN.com and the Neurology journals. If you are experiencing issues, please log out of AAN.com and clear history and cookies. (For instructions by browser, please click the instruction pages below). After clearing, choose preferred Journal and select login for AAN Members. You will be redirected to a login page where you can log in with your AAN ID number and password. When you are returned to the Journal, your name should appear at the top right of the page.
AAN Non-Member Subscribers
Purchase access
Letters: Rapid online correspondence
- Rotational vestibular epilepsy from the temporo-parieto-occipital junction
- Reply from the Authors
REQUIREMENTS
You must ensure that your Disclosures have been updated within the previous six months. Please go to our Submission Site to add or update your Disclosure information.
Your co-authors must send a completed Publishing Agreement Form to Neurology Staff (not necessary for the lead/corresponding author as the form below will suffice) before you upload your comment.
If you are responding to a comment that was written about an article you originally authored:
You (and co-authors) do not need to fill out forms or check disclosures as author forms are still valid
and apply to letter.
Submission specifications:
- Submissions must be < 200 words with < 5 references. Reference 1 must be the article on which you are commenting.
- Submissions should not have more than 5 authors. (Exception: original author replies can include all original authors of the article)
- Submit only on articles published within 6 months of issue date.
- Do not be redundant. Read any comments already posted on the article prior to submission.
- Submitted comments are subject to editing and editor review prior to posting.
You May Also be Interested in
Costs and Utilization of New-to-Market Neurologic Medications
Dr. Robert J. Fox and Dr. Mandy Leonard
► Watch
Alert Me
Recommended articles
Ictal SPECT statistical parametric mapping in temporal lobe epilepsy surgery
Intracranial ictal onset zone in nonlesional lateral temporal lobe epilepsy on scalp ictal EEG
Self-injection ictal SPECT during partial seizures
Late postictal residual perfusion abnormality in epileptogenic zone found on 6-hour postictal SPECT