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Visual hallucinations of autobiographic memory and asomatognosia: a case of epilepsy due to brain cysticercosis
Authors:Juan Manuel Orjuela-Rojas  Jesús Ramírez-Bermúdez  Iris E. Martínez-Juárez  Nora Estela Kerik  Iván Diaz Meneses  Fernanda Juárez Pérez-Gay
Affiliation:1. Neuropsychiatry Unit, National Institute of Neurology and Neurosurgery, Mexico City, Mexicoorjuelajm@gmail.com;3. Neuropsychiatry Unit, National Institute of Neurology and Neurosurgery, Mexico City, Mexico;4. Medical School, National University of Mexico, Mexico City, Mexico;5. Epilepsy Clinic, National Institute of Neurology and Neurosurgery, Mexico City, Mexico;6. Molecular Imaging PET/CT Unit, National Institute of Neurology and Neurosurgery, Mexico City, Mexico;7. Institut des Sciences Cognitives, Université du Québec à Montréal, Montréal, Canada;8. Integrated Program in Neuroscience, McGill University, Montréal, Canada
Abstract:
The current study describes the case of a woman with symptomatic epilepsy due to brain cysticercosis acquired during childhood. During her adolescence, she developed seizures characterized by metamorphopsia, hallucinations of autobiographic memory and, finally, asomatognosia. Magnetic brain imaging showed a calcified lesion in the right occipitotemporal cortex, and positron emission tomography imaging confirmed the presence of interictal hypometabolism in two regions: the right parietal cortex and the right lateral and posterior temporal cortex. We discuss the link between these brain areas and the symptoms described under the concepts of epileptogenic lesion, epileptogenic zone, functional deficit zone, and symptomatogenic zone.
Keywords:metamorphopsia  asomatognosia  autobiographical hallucinations  epilepsy  neurocysticercosis
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