Document Detail

Ictal urinary urge: further evidence for lateralization to the nondominant hemisphere.
MedLine Citation:
PMID:  12581239     Owner:  NLM     Status:  MEDLINE    
PURPOSE: 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.
Tobias Loddenkemper; Nancy Foldvary; Shanker Raja; Silvia Neme; Hans O Lüders
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Epilepsia     Volume:  44     ISSN:  0013-9580     ISO Abbreviation:  Epilepsia     Publication Date:  2003 Jan 
Date Detail:
Created Date:  2003-02-12     Completed Date:  2003-09-09     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  2983306R     Medline TA:  Epilepsia     Country:  United States    
Other Details:
Languages:  eng     Pagination:  124-6     Citation Subset:  IM    
Section of Epilepsy and Sleep Disorders, Department of Neurology, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.
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MeSH Terms
Amobarbital / diagnostic use
Awareness / physiology
Dominance, Cerebral / physiology*
Epilepsies, Partial / physiopathology*,  surgery
Epilepsy, Frontal Lobe / physiopathology*,  surgery
Epilepsy, Generalized / physiopathology*,  surgery
Epilepsy, Temporal Lobe / physiopathology*,  surgery
Middle Aged
Speech / physiology
Temporal Lobe / physiopathology,  surgery
Urination / physiology*
Urodynamics / physiology
Video Recording*
Reg. No./Substance:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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