Occurrence and lateralizing value of "rare" peri-ictal vegetative symptoms in temporal lobe epilepsy.

Abstract

We retrospectively investigated rare peri-ictal vegetative symptoms (PIVS) in 380 seizures of 97 patients with temporal lobe epilepsy (TLE): 234 seizures of 60 patients with TLE with mesiotemporal sclerosis (TLE/MTS) and 146 seizures of 37 patients with TLE with other lesions (TLE/non-MTS) who were at least 2 years after epilepsy surgery and classified as Engel I. We assessed the following PIVS: peri-ictal cough (pC), peri-ictal water drinking (pWD), peri-ictal vomiting (pV), and peri-ictal spitting (pS). We observed pC in 24.7% of patients and 10% of seizures; pWD in 14.4% of patients and 5.9% of seizures; pV and pS occurred more rarely. Both pWD and pC occurred significantly more often in those with TLE of the non- language-dominant hemisphere. The limited occurrence of pV and pS made it impossible to perform statistical analysis for these symptoms. In patients with TLE, pC and pWD were quite frequent; we observed pV and pS less frequently. Both pC and pWD have a significant lateralizing value in TLE.

• Authors: K Musilová, R Kuba, M Brázdil, I Tyrlíková, I Rektor
• Journal: Epilepsy & behavior : E&B (Epilepsy Behav) Vol. 19 Issue 3 Pg. 372-5 (Nov 2010) ISSN: 1525-5069 [Electronic] United States
• PMID: 20800552 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
• Copyright: Copyright © 2010 Elsevier Inc. All rights reserved.

Topics

• Adolescent
• Adult
• Automatism (etiology)
• Cough (etiology)
• Drinking (physiology)
• Epilepsy, Temporal Lobe (complications)
• Female
• Functional Laterality (physiology)
• Humans
• Longitudinal Studies
• Male
• Middle Aged
• Retrospective Studies
• Seizures (complications)
• Vomiting (etiology)
• Young Adult