Temporal Lobe Epilepsy Caused by Dilatation of Deep Middle Cerebral Vein: Case Report

Abstract

Seizures and epilepsy are well-recognized manifestations of cerebrovascular malformations; however, epilepsy associated with venous dilation is uncommon. We report a patient who presented with temporal lobe seizures characterized by automatisms and no other neurological deficits. Magnetic resonance imaging (MRI) of the brain revealed marked dilation of the left deep middle cerebral vein. We suggest that this venous dilation may have contributed to the patient’s temporal lobe epilepsy.