Resumen
Introducción: describimos una constelación de síntomas psíquicos en una paciente pintora profesional con epilepsia mesial del lóbulo temporal y esclerosis del hipocampo, raramente descritos en conjunto en un solo paciente, así como la representación artística de sus síntomas.
Presentación del caso: previo a la cirugía, la paciente presentó alucinaciones visuales, precognición, experiencias extracorpóreas, midriasis unilateral y cefaleas severas, las cuales finalmente llevaron al diagnóstico de epilepsia fármaco resistente del lóbulo temporal. Luego de la cirugía, la paciente desarrolló defectos del campo visual, degeneración retrógrada transináptica, afasia anómica, síndrome de lenguaje foráneo, escritura en espejo y síndrome de Geschwind.
Discusión: cada síntoma se presenta en comparación con reportes previos de pacientes con síntomas similares relacionados con enfermedad del lóbulo temporal.
Conclusión: los pacientes con enfermedad del lóbulo temporal pueden sufrir una gran variedad de síntomas que suelen pasar desapercibidos por los médicos debido a su inusual presentación. Los pacientes jóvenes epilépticos con enfermedad del lóbulo temporal pueden, además, expresar dichos síntomas a través de sus representaciones artísticas.
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