Neurology: Case of the Month

Test Yourself — Patient 31

Occipital Lobe Seizures

  1. The presence of well-formed visual hallucinations (a monkey riding a unicycle across a visual field) is most closely associated with seizures arising from which of the following cerebral cortices?
    • [ A ] Frontal
    • [ B ] Temporal
    • [ C ] Parietal
    • [ D ] Occipital
  2. Complex partial seizures arise most commonly from which of the following cerebral cortices?
    • [ A ] Frontal
    • [ B ] Temporal
    • [ C ] Parietal
    • [ D ] Occipital
  3. Conjugate eye movements may occur from stimulation of which of the following brain areas?
    • [ A ] Frontal lobe
    • [ B ] Occipital lobe
    • [ C ] Brainstem
    • [ D ] Basal forebrain
    • [ E ] A and C
    • [ F ] A, B, and C
    • [ G ] All of the above
  4. All of the following have been well-described with occipital-onset complex partial seizures, EXCEPT:
    • [ A ] Poorly formed visual sensations, such as colored lights
    • [ B ] Well-formed visual hallucinations, such as a person
    • [ C ] Blindness
    • [ D ] Version of the head and eyes colateral to the ictal source
  5. Which of the following etiologies are associated with occipital lobe epilepsy?
    • [ A ] Tumor
    • [ B ] Stroke
    • [ C ] Vascular malformation
    • [ D ] Cortical malformation
    • [ E ] All of the above

 

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