Document Detail

Localizing and lateralizing value of ictal flatulence.
MedLine Citation:
PMID:  20064748     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Autonomic seizures have been associated with seizure onset in the temporal or insular lobe and consist of variations in blood pressure and heart rate, sweating, flushing, piloerection, hypersalivation, vomiting, spitting, and alterations in bladder and bowel functions. The aim of this study was to evaluate the localizing and lateralizing value of ictal flatulence. METHODS: Medical records of patients with focal epilepsies who were monitored at the Interdisciplinary Epilepsy Center Marburg between 2006 and 2009 were reviewed for the occurrence of ictal flatulence. Clinical, electrophysiological, and imaging data were reviewed and compared with data for previously reported cases of ictal flatulence. RESULTS: Two patients with ictal flatulence were identified (0.6%). In both patients, ictal flatulence was associated with a seizure pattern in the temporal lobe of the dominant hemisphere. Our cases and previously reported cases point toward activation of insular cortex because of such additional autonomic symptoms as unilateral piloerection, tachycardia, profound sweating, and flushing of the face. CONCLUSIONS: Ictal flatulence is a rare manifestation of autonomic seizures and a localizing sign for temporal or/and insular lobe epilepsies. In general, ictal flatulence seems to have no lateralizing value.
Adam Strzelczyk; Mareike Nowak; Sebastian Bauer; Philipp S Reif; Wolfgang H Oertel; Susanne Knake; Hajo M Hamer; Felix Rosenow
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-01-12
Journal Detail:
Title:  Epilepsy & behavior : E&B     Volume:  17     ISSN:  1525-5069     ISO Abbreviation:  Epilepsy Behav     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-02-15     Completed Date:  2010-05-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100892858     Medline TA:  Epilepsy Behav     Country:  United States    
Other Details:
Languages:  eng     Pagination:  278-82     Citation Subset:  IM    
Copyright Information:
(c) 2009 Elsevier Inc. All rights reserved.
Department of Neurology and Interdisciplinary Epilepsy Center, Philipps-University Marburg, Marburg, Germany.
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MeSH Terms
Autonomic Nervous System / physiopathology
Brain Neoplasms / complications,  pathology
Cognition Disorders / complications,  diagnosis
Flatulence / complications*,  diagnosis
Functional Laterality / physiology*
Heart Rate / physiology
Hypertension / complications,  diagnosis
Meningioma / complications,  pathology
Neuropsychological Tests
Seizures / complications*,  physiopathology*

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