title: Intracranial localisation of ictal urinary urge epileptogenic zone to the non-dominant temporal lobe.
abstract: 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.
authors.affiliation: Department of Neurology, Drexel University College of Medicine, USA.
authors.forename: Khatuna
authors.initials: K
authors.lastname: Gurgenashvili
authors.forename: Shavonne L
authors.initials: SL
authors.lastname: Massey
authors.forename: Mitzie
authors.initials: M
authors.lastname: Grant
authors.forename: Joseph
authors.initials: J
authors.lastname: Piatt
authors.forename: Agustin
authors.initials: A
authors.lastname: Legido
authors.forename: Ignacio
authors.initials: I
authors.lastname: Valencia
mesh_terms: D004292:Dominance, Cerebral; D004569:Electroencephalography; D004828:Epilepsies, Partial / Q000150:complications / Q000601:surgery; D005260:Female; D007839:Functional Laterality / Q000502:physiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D015225:Magnetoencephalography; D019635:Neurosurgical Procedures; D012640:Seizures / Q000150:complications* / Q000503:physiopathology* / Q000601:surgery; D025321:Surgery, Computer-Assisted; D013702:Temporal Lobe / Q000503:physiopathology* / Q000601:surgery; D053202:Urinary Incontinence, Urge / Q000209:etiology* / Q000503:physiopathology*; D055815:Young Adult