Abstract

<p>Introduction. Deja vu (franc. Déjà vu) is a phenomenon experienced by two thirds of all people. However, this phenomenon can follow aura during the temporal lobe epilepsy. It is believed that it originates from hippocampus, which plays a major role in generating epileptic discharges. Some authors emphasize that in these patients déjà vu phenomenon is not an aura but rather it sometimes refers to the attack itself. Method. In this case report, an eightyear-old girl suffering from repeated crisis of consciousness is described. Case report. The aim of the study was to present the case of an eightyearold girl who underwent three crisis of consciousness, headache behind the forehead as well as the repeated déjà vu phenomenon. The girl was hospitalized, after which medical history was taken and physical examination, as well as other diagnostic tests, were performed. EEG recording revealed an increased electrocortical epileptic activity above the right frontotemporal region. An antiepileptic therapy (Karbapin) leading to attack control was introduced. Conclusion. It is necessary to give temporal lobe epilepsy in children with déjà vu phenomenon serious consideration.</p>

Highlights

  • a phenomenon experienced by two thirds of all people

  • that it originates from hippocampus

  • which plays a major role in generating epileptic discharges

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Summary

Kratak sadržaj

Ovaj fenomen se može javiti i u sklopu aure kod temporalne lobarne epilepsije. Neki autori smatraju da kod ovih pacijenata déjà vu fenomen nije aura već ponekad može značiti napad sâm po sebi. Cilj ovog rada je bio prikazati slučaj osmogodišnje djevojčice koja je imala tri krize svijesti, glavobolju u čeonom dijelu i déjà vu fenomen u više navrata. Potrebno je misliti na temporalnu lobarnu epilepsiju kod djece koja imaju déjà vu fenomene. Ovaj fenomen se može javiti u sklopu aure kod temporalne lobarne epilepsije, zatim može biti povezana sa šizofrenijom, Charles Bonnet-ovim sindromom i drugim bolestima [2, 3]. Cilj ovog rada je bio prikazati slučaj djevojčice koja je imala tri krize svijesti, glavobolju u čeonom dijelu i déjà vu fenomen u više navrata sa karakterističnim promjenama na EEG-u. Slučaj sadrži detaljne anamnestičke podatke, rezultate fizikalnog pregleda i različitih dijagnostičkih pretraga sa posebnim akcentom na promjene na EEG nalazu u odnosu na kliničku sliku

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