title: Ictal urge to defecate associated with a right-sided mesial temporal cavernoma.
abstract: A 69-year-old right-handed woman experienced, several times a day, a stereotyped feeling of warmth, rapidly followed by an urge to defecate. Magnetic resonance imaging revealed a right-sided mesial temporal cavernoma, and interictal electroencephalogram showed ipsilateral temporofrontal sharp waves. A brain lesion was absent in the only two earlier reported cases of an ictal urge to defecate. In our patient, the ictal urge to defecate seems to involve the non-dominant hemisphere and seems to probably be affecting the autonomic network.
authors.affiliation: Department of Neurology, CHU Nîmes, Hôpital Caremeau, Place du Pr Debré, 30029 Nîmes Cedex 4, France. taiebguillaume@gmail.com
authors.forename: Guillaume
authors.initials: G
authors.lastname: Taieb
authors.forename: Dimitri
authors.initials: D
authors.lastname: Renard
authors.forename: Pierre
authors.initials: P
authors.lastname: Labauge
authors.forename: François
authors.initials: F
authors.lastname: Janicot
authors.forename: Caroline
authors.initials: C
authors.lastname: Briere
mesh_terms: D000368:Aged; D001341:Autonomic Nervous System / Q000503:physiopathology; D003113:Colonoscopy; D003672:Defecation / Q000502:physiology*; D004569:Electroencephalography; D005260:Female; D020786:Hemangioma, Cavernous, Central Nervous System / Q000523:psychology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D009415:Nerve Net / Q000503:physiopathology; D012640:Seizures / Q000523:psychology*; D013702:Temporal Lobe / Q000473:pathology*