John Libbey Eurotext

Epileptic Disorders

The Educational Journal of the

Focal visual status epilepticus Volume 21, issue 1, February 2019

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Authors
Department for Clinical Neurophysiology, University Medical Center Göttingen, Göttingen, Germany
* Correspondence: Caspar Stephani Department for Clinical Neurophysiology, University Medical Center Göttingen, Robert-Koch-Strasse 40, 37075 Göttingen, Germany
  • Key words: epilepsy, status epilepticus, visual aura, occipital epilepsy, migraine, arterio-venous malformation
  • DOI : 10.1684/epd.2019.1034
  • Page(s) : 102-7
  • Published in: 2019

Epileptic visual auras are elementary to complex and sometimes occur as colourful visual phenomena located close to or within the central part of the contralateral hemi-field. They typically last from seconds to a few minutes, which discriminates them from the usually longer-lasting visual auras (5-30 minutes) of patients suffering from migraine. We present an adult patient with occipital lobe epilepsy whose visual aura under epilepsy monitoring lasted for more than 30 minutes with almost no propagation, demonstrating a rare, but remarkable, sustained local epileptic network activity associated with resection of an occipital arterio-venous malformation.