Daniel L. Roberts, MD, Usha Tatini, MD, Richard S

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Presentation transcript:

Musical Hallucinations Associated With Seizures Originating From an Intracranial Aneurysm Daniel L. Roberts, MD, Usha Tatini, MD, Richard S. Zimmerman, MD, Jennifer J. Bortz, PHD, Joseph I. Sirven, MD Mayo Clinic Proceedings Volume 76, Issue 4, Pages 423-426 (April 2001) DOI: 10.4065/76.4.423 Copyright © 2001 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 1 Magnetic resonance image of the brain shows a small focus of enhancement in the right uncus with a small amount of surrounding edema. Mayo Clinic Proceedings 2001 76, 423-426DOI: (10.4065/76.4.423) Copyright © 2001 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 2 Cerebral angiogram shows a 5-mm aneurysm arising from the anterior choroidal artery and a 5-mm aneurysm arising at the bifurcation of the internal carotid artery. LAT RCA = lateral right carotid artery. Mayo Clinic Proceedings 2001 76, 423-426DOI: (10.4065/76.4.423) Copyright © 2001 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 3 Electrocorticography (ECoG) map with 2 eight-contact strip electrodes shows placement of the electrodes in relation to the aneurysms. This map of the brain represents a cortical diagram with the superimposed lateral cerebral angiogram. The Xs on the strip represent the area of spike discharges. Note that the offending aneurysm (arrow) was mesially located and that the ECoG map is a 2-dimensional representation of 3-dimensional anatomy. Mayo Clinic Proceedings 2001 76, 423-426DOI: (10.4065/76.4.423) Copyright © 2001 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 4 Electrocorticography (ECoG) before (upper) and after (lower) clipping of aneurysms and focal resection of the surrounding uncus. Note the high amplitude rhythmic spike discharges on contacts 3, 4, and 5 before resection and their absence after resection. The ECoG was performed while the patient was anesthetized with propofol. Mayo Clinic Proceedings 2001 76, 423-426DOI: (10.4065/76.4.423) Copyright © 2001 Mayo Foundation for Medical Education and Research Terms and Conditions