Ictal Spitting in a Patient with Dominant Temporal Lobe Epilepsy: Discrepancy between Epileptogenic and Symptomatogenic Areas for Spitting Automatism

J Korean Neurol Assoc > Volume 24(5); 2006 > Article

Journal of the Korean Neurological Association 2006;24(5): 514-518.

우성 측두엽 간질환자에서 침뱉기 자동증의 증상발생영역의 측위는 어느 쪽인가?

박세미, 이상암 김지현a 강중구

울산대학교 의과대학 신경과학교실, 고려대학교 의과대학 신경과학교실a

Ictal Spitting in a Patient with Dominant Temporal Lobe Epilepsy: Discrepancy between Epileptogenic and Symptomatogenic Areas for Spitting Automatism

Sea-Mi Park

Department of Neurology, University of Ulsan College of Medicine, Seoul; Department of Neurology, Korea University College of Medicinea, Seoul, Korea

Abstract

Ictal spitting is an unusual manifestation that originates from the non-dominant hemisphere, but rarely from the dominant hemisphere. In the latter case, it has not been well defined as to whether symptomatogenic area for ictal spitting originates from the dominant hemisphere. We present a patient with ictal spitting. Intracranial EEG demonstrated a left hippocampal onset with propagation to the right hemisphere, and subsequent ictal spitting development. Even in dominant hemispheric seizures, the non-dominant hemisphere is a symptomatogenic area for ictal spitting.KeyWords:Spitting automatism, Non-dominant temporal lobe epilepsy, Lateralizing sign.