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Ictal Vomiting in Association with Left Temporal Lobe Seizures in a Left Hemisphere Language–Dominant Patient
Author(s) -
Schäuble Barbara,
Britton Jeffrey W.,
Mullan Brian P.,
Watson James,
Sharbrough Frank W.,
Marsh W. Richard
Publication year - 2002
Publication title -
epilepsia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.687
H-Index - 191
eISSN - 1528-1167
pISSN - 0013-9580
DOI - 10.1046/j.1528-1157.2002.40701.x
Subject(s) - lateralization of brain function , ictal , temporal lobe , vomiting , psychology , epilepsy , anterior temporal lobectomy , anesthesia , medicine , gauche effect , audiology , neuroscience , cardiology
Summary: Ictal vomiting is considered a localizing sign indicating nondominant lateralization in patients with partial seizures of temporal lobe origin. We report a case of ictal vomiting associated with left temporal seizure activity in a left hemisphere language–dominant patient with a left mesial temporal glioma. Bilateral mesial temporal depth electrodes helped verify seizure lateralization. Surgery consisting of tumor resection and a left anterior temporal lobectomy and amygdalohippocampectomy resulted in freedom from seizures and episodes of vomiting. This case indicates that ictal vomiting can occur as a manifestation of left temporal onset seizures in left hemisphere–dominant patients.