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Complex visual hallucinations and occipital seizures

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Walterfang M, Yerra R, Gaillard F, O’Brien T, Mocellin R, Velakoulis D. Complex visual hallucinations and occipital seizures. Background: 

We describe the presentation of a young woman with long-standing complex partial seizures with occasional secondary generalization, who presented with complex visual hallucinations (CVHs) and delusions. Methods: 

Routine biological workup including magnetic resonance imaging revealed an area of significant left-sided occipital gliosis. Video telemetry monitoring revealed a left occipital focus for the origin of the electrographic seizure discharge. Conclusion: 

CVHs occur in a range of organic states, including epilepsy, and can be understood in terms of the underpinning neuroanatomy and neurotransmitter systems of the visual system.
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Keywords: epilepsy; hallucinations; hallucinosis; occipital; visual

Document Type: Case Report

Affiliations: Department of Radiology, Royal Melbourne Hospital, Victoria, Australia

Publication date: 2007-12-01

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