title: Occurrence and lateralizing value of "rare" peri-ictal vegetative symptoms in temporal lobe epilepsy.
abstract: We retrospectively investigated rare peri-ictal vegetative symptoms (PIVS) in 380 seizures of 97 patients with temporal lobe epilepsy (TLE): 234 seizures of 60 patients with TLE with mesiotemporal sclerosis (TLE/MTS) and 146 seizures of 37 patients with TLE with other lesions (TLE/non-MTS) who were at least 2 years after epilepsy surgery and classified as Engel I. We assessed the following PIVS: peri-ictal cough (pC), peri-ictal water drinking (pWD), peri-ictal vomiting (pV), and peri-ictal spitting (pS). We observed pC in 24.7% of patients and 10% of seizures; pWD in 14.4% of patients and 5.9% of seizures; pV and pS occurred more rarely. Both pWD and pC occurred significantly more often in those with TLE of the non- language-dominant hemisphere. The limited occurrence of pV and pS made it impossible to perform statistical analysis for these symptoms. In patients with TLE, pC and pWD were quite frequent; we observed pV and pS less frequently. Both pC and pWD have a significant lateralizing value in TLE.
authors.affiliation: Epilepsy Centre Brno, First Department of Neurology, St Anne's University Hospital and Faculty of Medicine, Masaryk University, Brno, Czech Republic.
authors.forename: K
authors.initials: K
authors.lastname: Musilová
authors.forename: R
authors.initials: R
authors.lastname: Kuba
authors.forename: M
authors.initials: M
authors.lastname: Brázdil
authors.forename: I
authors.initials: I
authors.lastname: Tyrlíková
authors.forename: I
authors.initials: I
authors.lastname: Rektor
mesh_terms: D000293:Adolescent; D000328:Adult; D001332:Automatism / Q000209:etiology*; D003371:Cough / Q000209:etiology; D004326:Drinking / Q000502:physiology; D004833:Epilepsy, Temporal Lobe / Q000150:complications*; D005260:Female; D007839:Functional Laterality / Q000502:physiology*; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012640:Seizures / Q000150:complications*; D014839:Vomiting / Q000209:etiology; D055815:Young Adult