Video-polygraphic recording in “Pure” pilomotor seizures

Pilomotor seizures are rarely reported in the literature. Only 16 cases have been described until now, and seizures were recorded on EEG in only four patients. A 67-year-old woman has had four nocturnal tonic-clonic attacks since the age of 63. At the age of 67, brief, very frequent episodes appeared, characterized by a sudden feeling of "fuzziness" all over her body accompanied by diffuse piloerection. Several seizures have been recorded during video-polygraphic monitoring, showing a right temporal discharge and transient increase in arterial blood pressure without tachycardia. This patient's seizures demonstrate a "pure" form of autonomic dysfunction.