Teaching NeuroImages: A spiritual visual hallucination from a right parieto-occipital seizure
Ictal guardian angel
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A 59-year-old woman with epilepsy reported episodes of dizziness, blurred vision, and an occasional stereotyped visual hallucination of a guardian angel. She had experienced this recurrent hallucination since childhood, and could draw it in detail (figure 1). MRI brain revealed a right parieto-occipital lesion (figure 2A). Inpatient EEG monitoring captured multiple seizures evolving over the right posterior quadrant. With one typical electrographic seizure (figure 2B), she awakened from stage II sleep, reporting seeing her guardian angel at bedside within 10 seconds of electrographic seizure offset. Among focal epilepsy patients, 0.4%–3.1% report ictal religious experiences.1
Footnotes
Republished from Neurology 2017;88(11):e101-e102. doi: 10.1212/WNL.0000000000003709
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- © 2017 American Academy of Neurology
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