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Epileptic Disorders

The Educational Journal of the International League Against Epilepsy

Pilomotor seizures: a video case report Volume 14, issue 1, March 2012

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  • Pilomotor seizures: a video case report

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Authors
Department of Neurology, Vanderbilt University Medical Center, Nashville, USA
  • Key words: pilomotor seizures, piloerection, autonomic aura, temporal lobe seizures, temporal lobe epilepsy
  • DOI : 10.1684/epd.2012.0496
  • Page(s) : 76-9
  • Published in: 2012

Piloerection is a rare ictal manifestation usually associated with temporal lobe epilepsy. We present video and electrographic documentation of pilomotor seizures in a 75-year-old man with left temporal lobe epilepsy and remote herpes zoster encephalitis. In general, piloerection is most often localised to the temporal lobe. Unilateral piloerection is usually associated with an ipsilateral ictal onset. Bilateral piloerection has a less certain lateralising value, although earlier reports suggest left hemispheric predominance [Published with videosequences].