A man with bitemporal mass: A rare manifestation of epileptic seizure

Arman  Hakemi; Morteza  Talebi doluee; Saeideh  Anavari Ardakani; Sayyed Reza Ahmadi; Mahdi Foroughian; Roohie Farzaneh

A man with bitemporal mass: A rare manifestation of epileptic seizure

Authors

Arman Hakemi 1- Department of Emergency Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Morteza Talebi doluee Department of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Saeideh Anavari Ardakani Department of Neurology, Mashhad University of Medical Sciences, Mashhad, Iran.
Sayyed Reza Ahmadi 2- Department of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Mahdi Foroughian Department of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical ‎Sciences, Mashhad, Iran
Roohie Farzaneh Department of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Keywords:

Bitemporal mass, Epileptic, Seizure

Abstract

Introduction: Seizure occurrences are spontaneous and sometimes have no apparent trigger; while it is rarely observed that oral and maxillofacial practices encounter cases presenting epilepsy sporadically. This is a report of a facial mass manifestation after a seizure that is not previously reported.

Case presentation: The presented case is a 27-year-old Caucasian male admitted to the emergency department after a severe tonic-clonic seizure on the same day, with extreme bilateral and symmetric swelling of the buccal and temporal regions. The patient was a known case of chronic end-stage kidney disease and epilepsy. Clinical and imaging studies revealed bilateral subcutaneous soft tissue hypertrophy at the temporal region. The patient’s complaint got improved with conservative treatment after one month.

Conclusion: This case report raises many questions and has provided no answer for the causality of the reported symptom.

Declarations:

Conflicts of interest:

None.

Funding:

None.

Authors' contributions:

MF and AH visited the patient at first. MTD, SAA, SRA, and RF participated in drafting ‎the manuscript. All authors had a role in revisions.

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A man with bitemporal mass: A rare manifestation of epileptic seizure