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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
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
Revue Neurologique, Volume 169, No. 11, Year 2013
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Description
Peri-ictal behavior disorders can be helpful in localizing and lateralizing seizure onset in partial epilepsies, especially those originating in the temporal lobe. In this paper, we present the case of two right-handed women aged 36 and 42 years who presented with partial seizures of mesial temporal type. Both of the patients had drug resistant epilepsy and undergone presurgical evaluation tests including brain magnetic resonance imaging, video-EEG monitoring and neuropsychological testing. The two patients had hippocampal sclerosis in the right temporal lobe and exhibited PIWD behavior concomitant with right temporal lobe discharges documented during video-EEG recordings. Anterior temporal lobectomy was performed in one case with an excellent outcome after surgery. The patient was free of seizures at 3 years follow-up. We reviewed other publications of peri-ictal autonomic symptoms considered to have a lateralizing significance, such as peri-ictal vomiting, urinary urge, ictal pilo-erection. Clinicians should search for these symptoms, even if not spontaneously reported by the patient, because they are often under-estimated, both by the patients themselves and by physicians. Additionally, patients with lateralizing auras during seizures have a significantly better outcome after epilepsy surgery than those without lateralizing features. © 2013 Elsevier Masson SAS.
Authors & Co-Authors
Errguig, Leila
Morocco, Rabat
Hôpital Des Spécialités Centre Hospitalier Ibn Sina
Morocco, Rabat
Faculté de Médecine et de Pharmacie de Rabat
Lahjouji, Fatiha
Morocco, Rabat
Hôpital Des Spécialités Centre Hospitalier Ibn Sina
Belaïdi, Halima
Morocco, Rabat
Hôpital Des Spécialités Centre Hospitalier Ibn Sina
Jiddane, Mohammed
Morocco, Rabat
Faculté de Médecine et de Pharmacie de Rabat
Morocco, Rabat
Hôpital Des Spécialités Centre Hospitalier Ibn Sina
El Khamlichi, Abdeslam
Morocco, Rabat
Faculté de Médecine et de Pharmacie de Rabat
Morocco, Rabat
Hôpital Des Spécialités Centre Hospitalier Ibn Sina
Dakka, Taoufiq
Morocco, Rabat
Faculté de Médecine et de Pharmacie de Rabat
Ouazzani, Réda M.
Morocco, Rabat
Hôpital Des Spécialités Centre Hospitalier Ibn Sina
Morocco, Rabat
Faculté de Médecine et de Pharmacie de Rabat
Statistics
Citations: 7
Authors: 7
Affiliations: 2
Identifiers
Doi:
10.1016/j.neurol.2013.06.005
ISSN:
00353787
Research Areas
Environmental
Health System And Policy
Study Design
Cohort Study
Participants Gender
Female