Crisis gelásticas originadas en lóbulo temporal

Gelastic seizures are a rare form of non-convulsive seizures, more common in young adults and almost exclusively of endocrine disorders and hypothalamic hamartomas, there another other places for this seizures as the temporal lobe. The case shows an atypical manifestation, an elderly patient who consults for changes in behavior and unmotivated laughter; during hospitalization, showed the presence of gelastic seizures, which were attributed to the left temporal area of gliosis by previous epidural hematoma at this location, we present clinical history, neuroimaging and EEG. In the conclusion on elderly, this type of seizure occurs by different etiologies and no only by hypothalamic hamartoma.