Occurrence and lateralizing value of “rare” peri-ictal vegetative symptoms in temporal lobe epilepsy

Musilová, Kateřina; Kuba, Robert; Brázdil, Milan; Tyrlíková, Ivana; Rektor, Ivan

doi:10.1016/j.yebeh.2010.07.010

Cited by 28 publications

(49 citation statements)

References 35 publications

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“…In our study, peri-ictal water drinking was observed in 8% of patients (4 patients) with recorded seizures and in 16% (10 patients) of the whole group when considered together with their histories (1). In other studies, this finding has been reported in 7-15% of patients with refractory epilepsy (29,30,49,50). In our study, peri-ictal water drinking was noted to be more frequent in TLE and although insignificant, in non-dominant hemisphere seizures ( Figure 4) (1).…”

Section: Peri-ictal Water Drinkingsupporting

confidence: 74%

“…Left (dominant) temporal lobe onset seizures accompanied by ictal spitting have also been reported by different authors (29,46,47). The incidence of peri-ictal spitting in TLE was reported to range between 0.3 and 2.2% (29,30,47). As most of the patients in the literature do not describe ictal gustatory hallucinations, ictal spitting can be accepted as a pure motor automatism such as chewing and swallowing movements, rather than a symptom in response to gustatory aura (36).…”

Section: Peri-ictal Spittingmentioning

confidence: 90%

“…Although post-ictal cough seems to be a feature of TLE in some studies, it was reported not lateralize or localize in other studies. Post-ictal cough may occur as a response to increased respiratory secretions but can also as a result of direct activation of central autonomic pathways (29,30). In different studies, the incidence of peri-ictal cough in patients with TLE was reported as 5-24%.…”

Section: Peri-ictal Respiratory Changesmentioning

confidence: 99%

“…Peri-ictal water drinking has frequently been reported in the non-dominant temporal lobe seizures (30,49). In some studies, its lateralizing value could not be demonstrated (29,50).…”

Section: Peri-ictal Water Drinkingmentioning

confidence: 99%

“…Trinka et al (49) argued that through pathways between mesial temporal structures and the hypothalamus spread of mesial temporal epileptic activity, caused thirst and water-seeking behavior and that lateralizing features of peri-ictal water drinking was associated with asymmetric representation of the central autonomic network, which is associated with fluid control and thirst. Musilova et al (30) alternatively stated that patients with non-dominant TLE respond to external stimuli more often than patients with dominant TLE during seizures and that they may react with drink-seeking behavior when they feel a dry mouth and are thirsty.…”

Section: Peri-ictal Water Drinkingmentioning

confidence: 99%

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Current View of Autonomic Findings During Epileptic Seizures

Baysal-Kıraç¹,

Baykan²

2015

tnd

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147Autonomic findings during epileptic seizures frequently associate other ictal symptoms or may appear isolated. These changes are often overshadowed by other dramatic motor symptoms and not recognized. Cardiovascular system changes are thought to play a particular role in sudden unexplained death in epilepsy (SUDEP). In the literature, information about the features of peri-ictal autonomic symptoms and their lateralizing value are controversial. It is important to identify patients who are at high risk for SUDEP and plan early and appropriate medical treatment, as well as epilepsy surgery options to reduce mortality related with seizures. This paper will review the literature of the frequency of peri-ictal autonomic findings and their lateralizing and localizing information with didactic case examples. Furthermore, the relation between cardiac rhythm disorders, other electroclinical data, and risk of SUDEP will be evaluated.

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Section: Peri-ictal Water Drinkingsupporting

confidence: 74%

Section: Peri-ictal Spittingmentioning

confidence: 90%

Section: Peri-ictal Respiratory Changesmentioning

confidence: 99%

“…Peri-ictal water drinking has frequently been reported in the non-dominant temporal lobe seizures (30,49). In some studies, its lateralizing value could not be demonstrated (29,50).…”

Section: Peri-ictal Water Drinkingmentioning

confidence: 99%

Section: Peri-ictal Water Drinkingmentioning

confidence: 99%

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Current View of Autonomic Findings During Epileptic Seizures

Baysal-Kıraç¹,

Baykan²

2015

tnd

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A rare case of drug sensitive adult‐onset temporal lobe epilepsy due to a focal cortical dysplasia revealed by ictal coughing: First report in sub‐Saharan Africa

Chokote¹,

Ngarka

Takoeta³

et al. 2023

Clinical Case Reports

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Periictal water drinking revisited: Occurrence and lateralizing value in surgically confirmed patients with focal epilepsy

et al. 2023

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Objective: Periictal water drinking (PIWD), which is a rare seizure-related autonomic behavior, has been reported in temporal lobe epilepsy (TLE) but only rarely in extra-TLE. Additionally, the lateralizing value of PIWD is controversial.We aimed to clarify the occurrence and lateralizing value of PIWD in patients with focal epilepsy.Methods: This retrospective study included 240 focal epilepsy patients aged >10 years with a favorable postoperative seizure outcome (Engel class I). PIWD was defined as water drinking behavior during a seizure or within 2 min in the postictal phase. The occurrence of PIWD documented on video-electroencephalogram monitoring was assessed. The lateralizing value of PIWD was analyzed among patients whose language dominant hemisphere was identified.Results: Twenty-three (9.5%) patients exhibited PIWD. PIWD occurred more frequently in frontal lobe epilepsy (FLE; eight of 41 patients, 19.5%) than in TLE (15 of 188 patients, 8%). The occurrence of PIWD was significantly different between FLE and extra-FLE (P = 0.035), with a low positive predictive value (34.8%). In FLE with PIWD, all but one patient underwent resective surgery involving the medial frontal lobe. In 194 patients whose language dominant hemisphere was determined, the lateralizing value of PIWD in FLE and TLE showed no statistical significance (P = 0.69 and P = 0.27, respectively).

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Occurrence and lateralizing value of “rare” peri-ictal vegetative symptoms in temporal lobe epilepsy

Cited by 28 publications

References 35 publications

Current View of Autonomic Findings During Epileptic Seizures

Current View of Autonomic Findings During Epileptic Seizures

A rare case of drug sensitive adult‐onset temporal lobe epilepsy due to a focal cortical dysplasia revealed by ictal coughing: First report in sub‐Saharan Africa

Periictal water drinking revisited: Occurrence and lateralizing value in surgically confirmed patients with focal epilepsy

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