epilepsiaEpilepsy and paroxysmal conditionsЭпилепсия и пароксизмальные состояния2077-83332311-4088IRBIS LLC10.17749/2077-8333.2018.10.1.025-034epilepsia-390Research ArticleREVIEW ARTICLE AND CASE STUDYОБЗОР ЛИТЕРАТУРЫ И КЛИНИЧЕСКИЙ СЛУЧАЙMUSICOGENIC EPILEPSY. A REVIEW OF THE LITERATURE AND A CASE REPORTМУЗЫКОГЕННАЯ ЭПИЛЕПСИЯ. ОБЗОР ЛИТЕРАТУРЫ И КЛИНИЧЕСКИЙ СЛУЧАЙГенераловВ. О.GeneralovV. O.

д.м.н., врач-невролог, 

ул. академика Опарина, 4, Москва 117198

MD, PhD, Neurologist, Kulakov Research Center for Obstetrics, Gynecology and Perinatology,

4 Akademika Oparina Str., Moscow 117198

СадыковТ. Р.SadykovT. R.

к.м.н., врач-невролог,

Варшавское шоссе, 13, Москва 117105

MD, PhD, Neurologist,

13-2 Varshavskoe shosse, Moscow 117105

videoeeg@mail.ruКазаковаЮ. В.KazakovaYu. V.

врач-невролог, 

ул. академика Опарина, 4, Москва 117198

MD, Neurologist, Kulakov Research Center for Obstetrics, Gynecology and Perinatology,

4 Akademika Oparina Str., Moscow 117198

secretariat@oparina4.ruЮгайА. М.YugayA. M.

врач-невролог, 

Варшавское шоссе, 13, Москва 117105

MD, Neurologist,

13-2 Varshavskoe shosse, Moscow 117105

videoeeg@mail.ruОреховА. Б.OrehovA. B.

врач-невролог,  

ул. академика Опарина, 4, Москва 117198

MD, Neurologist,

4 Akademika Oparina Str., Moscow 117198

secretariat@oparina4.ruФедеральное государственное бюджетное учреждение «Научный центр акушерства, гинекологии и перинатологии» имени академика В.И. Кулакова Министерства здравоохранения Российской ФедерацииРоссияResearch Center for Obstetrics, Gynecology and Perinatology named after V. I. Kulakov of the Ministry of Health of Russian FederationRussian FederationЦентр диагностики и лечения эпилепсии «Планета Мед»РоссияCenter of diagnostics and treatment for epilepsy «Planeta Med»Russian Federation2018300520181012534Copyright © Generalov V.O., Sadykov T.R., Kazakova Y.V., Yugay A.M., Orehov A.B., 20182018Генералов В.О., Садыков Т.Р., Казакова Ю.В., Югай А.М., Орехов А.Б.Generalov V.O., Sadykov T.R., Kazakova Y.V., Yugay A.M., Orehov A.B.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.epilepsia.su/jour/article/view/390

Musicogenic epilepsy is a rare form of reflex epilepsy, where seizures are triggered by listening to patient-specific sounds or music. The onset typically occurs in the adult age. In most cases of musicogenic epilepsy, the source of epileptic activity is located in the temporal zone (more on the right) and not associated with structural brain damage as per magnetic resonance imaging. Usually, the seizures have the complex partial nature with automatisms. This report presents a case of a female patient of 53 years old with the onset of epilepsy at an age of 33, with complex partial epileptic seizures provoked by listening to pop music. We detected 2 sources of epileptic activity located in the medial zones of the right and left temporal lobes, with no structural abnormalities of the brain as evidenced by MRI. During a video-EEG examination, listening to a piece of music caused complex partial epileptic seizures with the source of ictal epileptic activity in the medial zones of the left temporal lobe.

Музыкогенная эпилепсия – редкий вид рефлекторной эпилепсии, при которой приступы провоцируются прослушиванием специфических для каждого пациента звуков или музыки. Дебют эпилепсии наиболее часто происходит во взрослом возрасте. В большинстве случаев источник эпилептической активности при музыкогенной эпилепсии располагается в височных отделах (чаще правых) в отсутствии структурного повреждения головного мозга по данным магнитно-резонасной томографии. Наиболее частым видом приступов являются сложные парциальные приступы с автоматизмами. В статье описывается пациентка 53 лет с дебютом эпилепсии в 33 года, со сложными парциальными эпилептическими приступами в клинической картине, провоцирующимися прослушиванием поп-музыки, источниками эпилептической активности в медиальных отделах правой и левой височной доли, в отсутствии патологических структурных изменений головного мозга. Во время видеоэлектроэнцефалографического мониторинга при прослушивании музыкального фрагмента зарегистрирован сложный парциальный эпилептический приступ с источником иктальной эпилептической активности в медиобазальных отделах левой височной области.

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The authors declare that there are no conflicts of interest present.