Uncinate crisis secondary to low grade glioma:

Abstract

Uncinate seizures, previously known as olfactory auras, are sensory focal epileptic spells that are uncommon in clinical setting, especially when they occur without secondary generalized tonic-clonic seizures. This article describes the case of a 32-year-old woman with normal neurologic examination, who presented with olfactory complaints, suggestive of uncinate seizures. Magnetic resonance imaging revealed a right expansive temporal lesion, which stereotaxic biopsy identified a low-grade glioma. The treatment with carbamazepine controlled the spells in the six months follow-up and no surgical intervention was proposed. It is important to keep in mind the possibility of epilepsy in the face of positive paroxysmal olfactory complaints and to evaluate the central nervous system in order to exclude structural lesions.