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Abnormal self-location and vestibular vertigo in a patient with right frontal lobe epilepsy
February 2010
February 2010
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Abstract
We describe the case of a 33-year-old man with complex partial seizures characterized
by the feeling of being projected outside his body, including dissociation of "mind
and self from body" (disembodiment), followed by vestibular vertigo due to right frontal
lobe epilepsy caused by an oligodendroglioma. We distinguish the patient's ictal symptoms
with respect to autoscopic phenomena (out-of-body experience, heautoscopy, autoscopic
hallucinations) and vestibular phenomena of epileptic origin, and we discuss their
neural origin with respect to vestibular and multisensory cortical mechanisms of bodily
self-consciousness in temporoparietal and frontal cortex.
(c) 2009 Elsevier Inc. All rights reserved.