Lakshmi Priya¹*, JV Mahendra², Purushottam Acharya³, Pradeep R⁴ and Anish Mehta⁴

¹Assistant Professor, Department of Neurology, MS Ramaiah Medical College, Bangalore, Karnataka, India
²Professor and Head, Department of Neurology, MS Ramaiah Medical College, Bangalore, Karnataka, India
³Professor, Department of Neurology, MS Ramaiah Medical College, Bangalore, Karnataka, India
⁴Associate Professor, Department of Neurology, MS Ramaiah Medical College, Bangalore, Karnataka, India

*Corresponding Author: Lakshmi Priya, Assistant Professor, Department of Neurology, MS Ramaiah Medical College, Bangalore, Karnataka, India.

Received: February 29, 2024; Published: March 26, 2024

Abstract

Introduction: Hyperventilation induced focal seizures in adults is a rare entity and it often gives a diagnostic clue in cases when most of the investigations are negative. We present a middle aged male with 5 days history of subacute onset headache, frequent anger outburst and irritability followed by seizures. His imaging with MRI Brain, CSF analysis and routine investigations gave no support to the suspected clinical diagnosis of acute encephalitis, but EEG showed typical temporo-occipital onset focal seizures induced by hyperventilation, which paved the way for us to suspect autoimmune etiology. Though serum and CSF autoimmune encephalitis panel was negative, in view of clinically suspected autoimmune encephalitis, a trial of steroids was given along with antiseizure medications.

Results: He was considered for slow taper of steroids along with azathioprine, with which he had significant improvement in his symptoms had no recurrence on 6 months of followup.

Conclusion: This case highlights the clinical significance of focal seizures induced by hyperventilation in adults and the etiological possibility to be considered particularly when autoimmune antibody panel is negative.

 Keywords: Hyperventilation; Anti VGKC; Adults; EEG; Focal Seizure

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Citation

Citation: Lakshmi Priya., et al. “Hyperventilation Induced Focal Seizures in an Adult - A Diagnostic Case Report”.Acta Scientific Medical Sciences 8.4 (2024): 69-72.

Copyright

Copyright: © 2024 Lakshmi Priya., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.