Ictal urinary urge indicates seizure onset in the nondominant temporal lobe

被引:49
作者
Baumgartner, C
Gröppel, G
Leutmezer, F
Aull-Watschinger, S
Pataraia, E
Feucht, M
Trinka, E
Unterberger, I
Bauer, G
机构
[1] Univ Vienna, Neurol Klin, A-1090 Vienna, Austria
[2] Univ Vienna, Klin Neuropsychiat Kindes & Jugendalters, Vienna, Austria
[3] Univ Innsbruck, Neurol Klin, A-6020 Innsbruck, Austria
关键词
D O I
10.1212/WNL.55.3.432
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The authors describe six patients with medically refractory temporal lobe epilepsy whose seizures were characterized by an aura of ictal urinary urge. All seizures originated in the nondominant temporal lobe as evidenced from interictal spikes, ictal EEG, and MRI, Ictal SPECT, which was obtained in two patients, showed a hyperperfusion of th insular cortex, indicating a critical role of the insula for the generation of this symptom. Ictal urinary urge represents a new lateralizing sign indicating a seizure onset in the nondominant temporal lobe.
引用
收藏
页码:432 / 434
页数:3
相关论文
共 10 条
[1]   Regional cerebral blood flow during temporal lobe seizures associated with ictal vomiting:: An ictal SPECT study in two patients [J].
Baumgartner, C ;
Olbrich, A ;
Lindinger, G ;
Pataraia, E ;
Gröppel, G ;
Bacher, J ;
Aull, S ;
Serles, W ;
Hoffmann, M ;
Leutmezer, F ;
Czech, T ;
Prayer, D ;
Pietrzyk, U ;
Asenbaum, S ;
Podreka, I .
EPILEPSIA, 1999, 40 (08) :1085-1091
[2]   Brain activation during micturition in women [J].
Blok, BFM ;
Sturms, LM ;
Holstege, G .
BRAIN, 1998, 121 :2033-2042
[3]   A PET study on brain control of micturition in humans [J].
Blok, BFM ;
Willemsen, ATM ;
Holstege, G .
BRAIN, 1997, 120 :111-121
[4]   AUTONOMIC EPILEPSY [J].
FREEMAN, R ;
SCHACHTER, SC .
SEMINARS IN NEUROLOGY, 1995, 15 (02) :158-166
[5]   Clinical studies of cerebral and urinary tract function in elderly people with urinary incontinence [J].
Griffiths, D .
BEHAVIOURAL BRAIN RESEARCH, 1998, 92 (02) :151-155
[6]  
KRAMER RE, 1988, NEUROLOGY, V38, P1045
[7]   FREQUENCY AND URGENCY OF MICTURITION IN HEMIPLEGIC PATIENTS - RELATIONSHIP TO HEMISPHERE LATERALITY OF LESIONS [J].
KUROIWA, Y ;
TOHGI, H ;
ONO, S ;
ITOH, M .
JOURNAL OF NEUROLOGY, 1987, 234 (02) :100-102
[8]  
Liporace JD, 1997, EPILEPSY COMPREHENSI, P549
[9]   MICTURITION SYMPTOMS IN FRONTAL TUMORS [J].
MAURICEWILLIAMS, RS .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1974, 37 (04) :431-436
[10]  
Penfield W, 1954, EPILEPSY FUNCTIONAL, P122