Spitting Automatism in Complex Partial Seizures: A Nondominant Temporal Localizing Sign?
1999; Wiley; Volume: 40; Issue: 1 Linguagem: Inglês
10.1111/j.1528-1157.1999.tb01998.x
ISSN1528-1167
AutoresNicholas F. Voss, Keith G. Davies, Frederick A. Boop, Georgia Montouris, Bruce P. Hermann,
Tópico(s)Neuroscience and Neuropharmacology Research
ResumoSummary: 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.
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