Premium
Ictal Urinary Urge: Further Evidence for Lateralization to the Nondominant Hemisphere
Author(s) -
Loddenkemper Tobias,
Foldvary Nancy,
Raja Shanker,
Neme Silvia,
Lüders Hans O.
Publication year - 2003
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.1528-1157.2003.26202.x
Subject(s) - ictal , epilepsy , lateralization of brain function , temporal lobe , laterality , psychology , electroencephalography , audiology , epilepsy surgery , medicine , anesthesia , neuroscience
Summary: 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.