A man with bitemporal mass: A rare manifestation of epileptic seizure
Keywords:Bitemporal mass, Epileptic, Seizure
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.
Conflicts of interest:
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.
Singh A, Trevick S. The epidemiology of global epilepsy. Neurologic clinics. 2016;34(4):837-47.
Ngugi AK, Bottomley C, Kleinschmidt I, Sander JW, Newton CR. Estimation of the burden of active and life‐time epilepsy: a meta‐analytic approach. Epilepsia. 2010;51(5):883-90.
Behr C, Goltzene M, Kosmalski G, Hirsch E, Ryvlin P. Epidemiology of epilepsy. Revue neurologique. 2016;172(1):27-36.
Thanthoni M, Sathasivasubramanian S, Warrier A. Persistent Buccal Swelling: Diagnostic Dilemma. Cureus. 2018;10(12).
Brown J. BUCCAL SWELLING AFTER APPLICATION OF BRACES. Annals of Allergy, Asthma & Immunology. 2018;121(5):S121.
Mandel L, Addison S, Clark M. Buccal reaction to silicone cosmetic filler. The Journal of the American Dental Association. 2010;141(2):162-6.
Dereci Ö, Çimen E. Adenomatoid hyperplasia of the minor salivary glands on the buccal mucosa: A rare case report. International journal of surgery case reports. 2014;5(5):274-6.
Conversano E, Udina C, Cozzi G, Dal Bo S, Marchetti F, Barbi E. IMAGES IN EMERGENCY MEDICINE DIAGNOSIS: Acute mastoiditis associated with temporal osteomyositis with intra-and extracranial abscess. MOSBY-ELSEVIER 360 PARK AVENUE SOUTH, NEW YORK, NY 10010-1710 USA; 2019.
Franzen A, Glitzki S, Coordes A. How to Manage a Buccal Space Mass–A Case Series. Austin Head Neck Oncol. 2018;2(1):1008.
Martínez R, Marín C, Niklander S, Marshall M, González-Arriagada WA. Exophytic swelling of the buccal mucosa in a young female patient. Oral surgery, oral medicine, oral pathology and oral radiology. 2019;127(4):267-71.
Cataño J, Robledo J. Tuberculous Lymphadenitis and Parotitis. Microbiology spectrum. 2016;4(6).
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