TY - JOUR T1 - Benign electroencephalography pattern mimicking temporal lobe epilepsy JF - Practical Neurology JO - Pract Neurol SP - 331 LP - 333 DO - 10.1136/practneurol-2018-001907 VL - 18 IS - 4 AU - Ahmed Abbas AU - Elfatih Suliman Ahmed AU - Noushad Shereef Mytheen Y1 - 2018/08/01 UR - http://pn.bmj.com/content/18/4/331.abstract N2 - A young woman with depression was referred for evaluation of refractory stereotypical seizures. These started 12 months before, manifesting as a brief feeling of panic and strange abdominal sensation (‘fluttering’), followed by an apparently minimally responsive ‘dreamy’ state lasting around 20 min.The initial suspicion of temporal lobe epilepsy was strengthened by a subsequently requested sleep-deprived electroencephalography (EEG), reported elsewhere as showing ‘frequent runs of sharp activity over the temporal regions supporting a focal seizure disorder’. She subsequently tried three different antiepileptic medications (carbamazepine, then levetiracetam, then levetiracetam and sodium valproate) with no improvement and then increasingly frequent events. MR scan of brain was normal.Ambulatory EEG captured several stereotypical clinical attacks during which the EEG remained normal. However, as she became drowsy during the recording, there were repeated runs of prominent … ER -