University of Istanbul, CerrahpaGsa Medical Faculty, Department of Neurosurgery, Istanbul, 34303, Turkey
- Key words: spitting, ictal automatism, temporal lobe epilepsy, complex partial seizure
- Page(s) : 169-72
- Published in: 2000
We present a 35-year-old male patient with intractable temporal lobe epilepsy in whom spitting automatism was documented by ictal recordings during seizures. Spitting is an uncommon automatism and occurs mainly with right-sided, nondominant, temporal focus. However, our patient had left mesial temporal sclerosis with nonverbal memory impairment, but intracarotid amobarbital test demonstrated language and memory dominance on the right hemisphere. The authors feel that this case supports the hypothesis of a nondominant, temporal lobe origin for the spitting automatism.