Acute Provoked Reflex Seizures Induced by Thinking

Naomi Nevler, MD; Revital Gandelman-Marton, MD

Disclosures

Neurologist. 2012;18(6):415-417. 

In This Article

Abstract and Introduction

Abstract

Thinking epilepsy is a rare form of reflex epilepsy that can be induced by specific cognitive tasks, and occurs mainly in idiopathic generalized epilepsies. We report a case of complex partial seizures triggered by thinking in a young man with acute bacterial meningitis and a remote head injury. This case illustrates that thinking-induced reflex seizures can be partial and can be provoked by an acute brain insult.

Introduction

Thinking epilepsy is a rare form of reflex epilepsy that can be induced by specific cognitive tasks, such as calculation, solving Rubik cube, playing chess or card games, thinking, making decisions, and abstract reasoning.[1–6] It occurs mainly in idiopathic generalized epilepsies,[7] and in only several exceptional cases thinking-induced seizures were reported in partial epilepsies.[8,9]

We present a patient with acute bacterial meningitis and repeated head trauma in which partial seizures were self-induced by thinking.

Comments

3090D553-9492-4563-8681-AD288FA52ACE

processing....