title: Ictal vomiting in association with left temporal lobe seizures in a left hemisphere language-dominant patient.
abstract: Ictal vomiting is considered a localizing sign indicating nondominant lateralization in patients with partial seizures of temporal lobe origin. We report a case of ictal vomiting associated with left temporal seizure activity in a left hemisphere language-dominant patient with a left mesial temporal glioma. Bilateral mesial temporal depth electrodes helped verify seizure lateralization. Surgery consisting of tumor resection and a left anterior temporal lobectomy and amygdalohippocampectomy resulted in freedom from seizures and episodes of vomiting. This case indicates that ictal vomiting can occur as a manifestation of left temporal onset seizures in left hemisphere-dominant patients.
authors.affiliation: Department of Neurology and Divisions of EEG and Epilepsy, Mayo Clinic and Mayo Foundation, Rochester, Minnesota 55905, USA.
authors.forename: Barbara
authors.initials: B
authors.lastname: Schäuble
authors.forename: Jeffrey W
authors.initials: JW
authors.lastname: Britton
authors.forename: Brian P
authors.initials: BP
authors.lastname: Mullan
authors.forename: James
authors.initials: J
authors.lastname: Watson
authors.forename: Frank W
authors.initials: FW
authors.lastname: Sharbrough
authors.forename: W Richard
authors.initials: WR
authors.lastname: Marsh
mesh_terms: D000293:Adolescent; D001932:Brain Neoplasms / Q000150:complications / Q000175:diagnosis; D004292:Dominance, Cerebral; D004567:Electrodes, Implanted; D004569:Electroencephalography / Q000295:instrumentation; D004833:Epilepsy, Temporal Lobe / Q000150:complications* / Q000209:etiology; D005260:Female; D005910:Glioma / Q000150:complications / Q000175:diagnosis; D006801:Humans; D007802:Language; D008279:Magnetic Resonance Imaging; D013702:Temporal Lobe / Q000473:pathology; D014839:Vomiting / Q000209:etiology*