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 Volume 58, Number 2, January 22, 2002
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Neurology 2002;58:298-301
© 2002 American Academy of Neurology
Brief Communications

Epilepsy presenting as AD: Neuroimaging, electroclinical features, and response to treatment

P. Høgh, MD PhD;, S. J. Smith, FRCP, R. I. Scahill, MSc, D. Chan, PhD MRCP;, R. J. Harvey, MD MRCPsych;, N. C. Fox, MD MRCP; and M. N. Rossor, MD FRCP

From the Dementia Research Group (Drs. Høgh, Chan, Harvey, Fox, and Rossor, and R. Scahill), Department of Clinical Neurology, Institute of Neurology, Queen Square, London; Department of Clinical Neurophysiology (Dr. Smith), The National Hospital for Neurology and Neurosurgery, Queen Square, London; and the Division of Neurosciences (Drs. Chan and Rossor), Imperial College of Science, Technology and Medicine, London, UK.

Address correspondence and reprint requests to Prof. Martin N. Rossor, Dementia Research Group, The National Hospital for Neurology and Neurosurgery, Queen Square, London WC1N 3BG, UK; e-mail: m.rossor{at}dementia.ion.ucl.ac.uk

Three patients with progressive memory impairment initially attributed to AD underwent serial neuropsychometry, MRI, and EEG. Registered serial MRI volumetric analysis showed no loss of whole or regional brain volume. EEG revealed temporal lobe spike activity and antiepileptic treatment was optimized. Memory functions improved with antiepileptic medication in all three patients. The demonstration of temporal lobe spike activity in patients with progressive memory impairment is an indication for a trial of antiepileptic medication.






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