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Intracranial localisation of ictal urinary urge epileptogenic zone to the non-dominant temporal lobe |
Epileptic Disorders. Volume 13, Number 4, 430-4, December 2011, Clinical commentaries
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Author(s) : Khatuna Gurgenashvili, Shavonne L Massey, Mitzie Grant, Joseph Piatt Jr, Agustin Legido, Ignacio Valencia |
Summary : Ictal urinary urge is a rare symptom of focal epilepsy usually localising to the non-dominant hemisphere, specifically, the temporal lobe. Lateralisation in previously described cases has been established using scalp video-EEG monitoring or functional imaging. We report the case of a 19-year-old girl with refractory epilepsy and ictal urinary urge arising from the non-dominant temporal lobe, confirmed by invasive, subdural EEG monitoring. Since undergoing a temporal lobectomy two and a half years ago, the patient has not experienced ictal urinary urge. To our knowledge, this is the first report demonstrating localisation of ictal urinary urge epileptogenic zone to the non-dominant temporal lobe by invasive intracranial monitoring. |
Keywords : ictal urinary urge, seizure, visceral aura, non-dominant temporal lobe, localisation, invasive EEG |
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