![]() ![]() Auras are of diagnostic value as they can predict a focal site of CNS involvement. In clinical practice, auras are typically encountered in the setting of migraine or epilepsy. Due to patient dental hardware, MRI was postponed.Īura is a transient focal neurological symptom than can include auditory, gustatory, motor, olfactory, psychic, sensory, vestibular, or visual disturbances. During the monitoring, one of the patient's events was recorded without electrographic correlation (Figures 1 & 2). 72-hour continuous video EEG was unremarkable. The patient’s family, birth, developmental, and social history are non-contributory.ĭuring her hospitalization, her basic blood workup including CBC, CMP were normal. Her anxiety and depression have been mildly exacerbated during COVID but are well controlled on Bupropion extended release 150mg and Sertraline 100mg daily. She fell on a foot that had been previously injured and surgically repaired and was said to have forgotten this fall in its entirety. Of note, in the past few months, she has had two instances where she forgot a specific life event. Episodes last approximately five minutes with the gustatory and olfactory sensations occurring first, then nausea, then the sensations disappear, and she has a mild headache and mild tiredness for the following 20 minutes and then returns fully to baseline. The episodes are unprovoked and occur without relation to sleep, food, stress, time of day, or any significant life changes or stressors. She is fully responsive and communicative and has no motor or autonomic manifestations. ![]() Her mother videotaped the episodes and brought her to the hospital for evaluation.ĭuring these episodes she does not lose awareness. She began experiencing these episodes once every few months, but they progressed, and she was experiencing approximately six per day for the two weeks leading up to her presentation. Two and a half years ago she had another of these episodes except this instance she experienced severe and overwhelming gustatory and olfactory hallucination described as a disgusting smell and taste that gave her a stomach pain due to the intense nausea from the putrid sensations. She reports experiencing episodes of déjà vu and jamais vu since childhood in which a typical story plays over in her head, and she experiences a sense of familiarity or unfamiliarity to her surroundings. The patient is a 15-year-old adolescent girl with a past medical history significant for depression and anxiety who presented with increased frequency of episodes of aura. ![]()
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