Ictal Vomiting Associated with Temporal Lobe Epilepsy of Dominant Hemisphere

J Korean Neurol Assoc > Volume 22(1); 2004 > Article

Journal of the Korean Neurological Association 2004;22(1): 63-66.

우성 반구의 측두엽간질에 의해 발생한 발작성 구토 1예

허재훈, 조용원 이주화 박상원 이현아 이준 이형 임정근 이상도

계명대학교 의과대학 신경과학교실

Ictal Vomiting Associated with Temporal Lobe Epilepsy of Dominant Hemisphere

Jae-Hun Her

Department of Neurology, Keimyung University School of Medicine, Daegu, Korea

Abstract

Ictal vomiting is a rare clinical manifestation of temporal lobe epilepsy. This manifestation is considered a clinical lateralizing sign pointing toward seizure activity within the nondominant temporal lobe. However, we have experienced a case of ictal vomiting associated with temporal lobe epilepsy within the dominant hemisphere. The ictal vomiting occurred early in the course of the seizure when rhythmic discharges predominantly involved the left temporal lobe. This patient underwent a left anterior temporal lobectomy and experienced markedly reduced seizure frequency for more than 2 years. Key Words: Epilepsy, Temporal lobe, Vomiting