A Case of Frontal Lobe Epilepsy with Pilomotor Seizure

ABSTRACT

Pilomotor seizures have been reported frequently with temporal lesions or sometimes with ictal discharges from temporal area. The stimulation on cingulate gyrus also induced the piloerection in animals. We present a 27-year-old man with pilomotor seizures originating from the right frontal lobe. The subtracted ictal 99mTc-ECD SPECT of the patient showed hyperperfusion mainly on the right cingulate gyrus. Electrocorticography demonstrated the epileptogenic focus in the anterior part of the right cingulate gyrus. After resection of the focus, the patient has been free from seizures.