Epilepsia · 1999
Spitting automatism in complex partial seizures: a nondominant temporal localizing sign?
СтатьяНазвание и аннотация: Перевод в очереди
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Voss N F, Davies K G, Boop F A, Montouris G D, Hermann B P
Аннотация
PURPOSE: Spitting as an ictal automatism has been rarely reported. We aimed to establish its potential lateralizing and localizing significance.
METHODS: Review of patients undergoing surgery for intractable epilepsy at two comprehensive epilepsy centers.
RESULTS: Five patients were found who had spitting as a stereotyped automatism of their complex partial seizures. All had evidence of right temporal ictal onset and underwent resective surgery. Two had tumors; one, a cavernous angioma; one, hippocampal gliosis, and one, hippocampal sclerosis. We found no instances of ictal spitting in patients with left hemisphere onset.
CONCLUSIONS: Spitting as an automatism in complex partial seizures, although uncommon, may be a localizing sign to the nondominant temporal lobe.
METHODS: Review of patients undergoing surgery for intractable epilepsy at two comprehensive epilepsy centers.
RESULTS: Five patients were found who had spitting as a stereotyped automatism of their complex partial seizures. All had evidence of right temporal ictal onset and underwent resective surgery. Two had tumors; one, a cavernous angioma; one, hippocampal gliosis, and one, hippocampal sclerosis. We found no instances of ictal spitting in patients with left hemisphere onset.
CONCLUSIONS: Spitting as an automatism in complex partial seizures, although uncommon, may be a localizing sign to the nondominant temporal lobe.