title: Ictal urinary urge: further evidence for lateralization to the nondominant hemisphere.
abstract: OBJECTIVE
  To determine the lateralizing value of ictal urinary urgency.
  
  
  METHODS
  A retrospective database search was performed for patients with ictal urinary urgency admitted to the Epilepsy Monitoring Unit at the Cleveland Clinic between 1994 and 2001.
  
  
  RESULTS
  Six patients were identified; intracarotid amytal test demonstrated left hemispheric speech dominance in five cases. The sixth patient continued to speak during right temporal seizures. EEG and imaging data supported right temporal or frontotemporal epilepsy in all six cases. Two patients were seizure free after focal right hemispheric resection.
  
  
  CONCLUSIONS
  Ictal urinary urge appears to be a lateralizing sign for nondominant temporal lobe epilepsy.
authors.affiliation: Section of Epilepsy and Sleep Disorders, Department of Neurology, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA. Loddent@ccf.org
authors.forename: Tobias
authors.initials: T
authors.lastname: Loddenkemper
authors.forename: Nancy
authors.initials: N
authors.lastname: Foldvary
authors.forename: Shanker
authors.initials: S
authors.lastname: Raja
authors.forename: Silvia
authors.initials: S
authors.lastname: Neme
authors.forename: Hans O
authors.initials: HO
authors.lastname: Lüders
mesh_terms: D000328:Adult; D000654:Amobarbital; D001364:Awareness / Q000502:physiology; D002648:Child; D004292:Dominance, Cerebral / Q000502:physiology*; D004569:Electroencephalography; D004828:Epilepsies, Partial / Q000503:physiopathology* / Q000601:surgery; D017034:Epilepsy, Frontal Lobe / Q000503:physiopathology* / Q000601:surgery; D004829:Epilepsy, Generalized / Q000503:physiopathology* / Q000601:surgery; D004833:Epilepsy, Temporal Lobe / Q000503:physiopathology* / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013060:Speech / Q000502:physiology; D013702:Temporal Lobe / Q000503:physiopathology / Q000601:surgery; D014554:Urination / Q000502:physiology*; D014563:Urodynamics / Q000502:physiology; D014741:Video Recording
chemical_list: D000654:Amobarbital