J Korean Epilepsy Soc.
2003 Jun;7(1):48-50.
Three Patients with Nondominant Temporal Lobe Epilepsy Showing Ictal Spitting
- Affiliations
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- 1Department of Neurology, Yonsei University College of Medicine, Seoul, Korea. kheo@yumc.yonsei.ac.kr
- 2Department of Neurosurgery, Yonsei University College of Medicine, Seoul, Korea.
Abstract
- Spitting as an ictal phenomenon has rarely been reported. It is considered to indicate a seizure onset in the nondominant temporal lobe. Three cases with ictal spitting were found in 81 consecutive patients who underwent temporal lobe resections due to intractable temporal lobe epilepsy. Two had evidence of the right temporal ictal onset. One had the left temporal ictal onset, but the Wada test demonstrated language dominance in the right hemisphere. Three all had mesial temporal sclerosis. One had recollection of her episodes of spitting with a gustatory aura, whereas the other patients had no awareness of this symptom. These cases support previous studies suggesting that spitting is a lateralizing sign to nondominant temporal lobe epilepsy.
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