Peri-ictal water drinking and other ictal vegetative symptoms: Localizing and lateralizing the epileptogenic zone in temporal lobe epilepsy? Two case reports and review of the literature

Errguig, Leïla; Lahjouji, Fatiha; Belaïdi, H.; Jiddane, M.; Elkhamlichi, A.; Dakka, Taoufiq; Ouazzani, R.

doi:10.1016/j.neurol.2013.06.005

Cited by 7 publications

(14 citation statements)

References 23 publications

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“…Some pathologies associated with PIWD include mesial temporal sclerosis [13] , post-infectious [5] , autoimmune paraneoplastic encephalitis [6] , vascular lesions such as cavernoma [10] and tumors [6] , [10] . Some cases underwent a surgical treatment [6] , [7] , [14] .…”

Section: Discussionmentioning

confidence: 99%

Recurrent focal seizures as a feature of status epilepticus presenting as a peri-ictal water drinking

Huang

Al-Abri

Sachdeva

et al. 2018

Epilepsy & Behavior Case Reports

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We report a case of focal status epilepticus (SE) associated with peri-ictal water drinking (PIWD) behavior in a nine-year-old left-handed boy with epilepsy. We reviewed prior cases of epileptic peri-ictal water drinking. Only one adult patient with status epilepticus and PIWD has been reported previously. This is the first reported case of PIWD SE in a pediatric patient with frontal lobe epilepsy. We found PIWD to have no lateralizing value.

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Section: Discussionmentioning

confidence: 99%

Recurrent focal seizures as a feature of status epilepticus presenting as a peri-ictal water drinking

Huang

Al-Abri

Sachdeva

et al. 2018

Epilepsy & Behavior Case Reports

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“…Nondominant temporal lob için lateralizan ve lokalizan öneme sahiptir. [28][29][30] Errguig ve ark. [30] peri-iktal su içme tanımlanan iki olgu bildirmişlerdir.…”

Section: Discussionunclassified

“…[28][29][30] Errguig ve ark. [30] peri-iktal su içme tanımlanan iki olgu bildirmişlerdir. İlaca dirençli olan olgularda sağ ön temporal bölgeden kaynaklanan epileptik nöbetler gösterilmiş ve olgulardan biri anterior temporal lobektomi sonrası 3 yıl nöbetsiz izlenmiştir.…”

Section: Discussionunclassified

“…İlaca dirençli olan olgularda sağ ön temporal bölgeden kaynaklanan epileptik nöbetler gösterilmiş ve olgulardan biri anterior temporal lobektomi sonrası 3 yıl nöbetsiz izlenmiştir. [30] İncelediğimiz nöbetlerin 17'sinde (%4.9) iktal ve post-iktal su içme-su içme isteği mevcuttu. Bunların 14'ü sağ iktal başlangıçlı nöbetlerde idi ve sağa lateralizasyon için anlamlıydı.…”

Section: Discussionunclassified

“…[3][4][5][6][7] Özellikle peri-iktal vejetatif semptomlar ile klinik çalışmalar sınırlı sayıdadır ve çoğu olgu düzeyinde bildirimlerdir. [8][9][10][11][12][13][14][15][16] Bu çalışmanın amacı, hasta çalışmamızda klinik nöbet semptomlarının sıklığını saptamak ve klasik lateralizan değeri yüksek bulgular yanında görece nadir görülen bulguların lateralizasyon değerini belirlemektir. İktal EEG'de iyi lateralize edilmiş TLE'li hasta çalışmasında iktal ve postiktal semiyoloji detaylı incelenmiştir.…”

Section: Introductionunclassified

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Temporal lob epilepsisinde semiyolojinin lateralizasyon değeri

Türe¹

2019

Epilepsi

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Objectives: This study aims to determine the prevalence of lateralized semiological findings in patients with temporal lobe epilepsy and to assess the contribution of relatively rare symptoms to lateralization, as well as classical lateralizing findings. Methods:The records of the 329 patients who were monitored by video-EEG for evaluation of epilepsy surgery were retrospectively reviewed in this study. The lateralization of the seizures was evaluated with ictal EEG and semiological findings. The records of 128 patients with unilateral temporal lobes were analyzed.Results: In our study, 343 seizures of the 128 patients were analyzed. Aura was identified on 241 patients (70.2%). The presence of aura was not associated with lateralization. Vertigo (p=0.02) and deja vu (p=0.04) indicated right temporal lobe in all seizures. One of the most frequently observed ictal clinical findings was oroalimenter automatism, but its presence was not significant for lateralization. Peri-ictal vegetative symptoms of ictal cough, vomiting, water drinking, hypersalivation and the urinary urge are rarely seen in the right temporal lobe-induced seizures were seen more frequently (p<0.05). Most of the ictal motor findings showed contralateral hemispheres. Clonic jerk ended the ipsilateral focus in all seizures (p=0.004). Conclusion:The presence of peri-ictal vegetative symptoms may help lateralize the epileptic focus to the right hemisphere when evaluated with other classical findings. Analysis of the seizure semiology that involves the phenomenon of lateralized seizures is a significant component of preoperative evaluation.

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