Clinical importance of peri-ictal water drinking

BackgroundPeri-ictal water drinking is drinking water within a short period or during a seizure. This behavior can be experienced in childhood and adulthood and commonly affects adults suffering from temporal lobe epilepsy. Peri-ictal water drinking has clinical importance for lateralizing signs in...

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Bibliographic Details
Published in:The Egyptian Journal of Neurology, Psychiatry and Neurosurgery Psychiatry and Neurosurgery, 2023-06, Vol.59 (1), p.86-5
Main Author: Al-Attas, Alawi A
Format: Article
Language:English
Subjects:
Adults
Blood pressure
Convulsions & seizures
Drinking water
Electroencephalography
Epilepsy
Hypothalamus
Ictal vegetative symptoms
Localizing and lateralizing signs
Morphology
Patients
Peri-ictal water drinking
Psychiatry
Seizure
Temporal lobe
Thoracic surgery
Tomography
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Summary:BackgroundPeri-ictal water drinking is drinking water within a short period or during a seizure. This behavior can be experienced in childhood and adulthood and commonly affects adults suffering from temporal lobe epilepsy. Peri-ictal water drinking has clinical importance for lateralizing signs in the non-dominant hemisphere. It has been found in up to 7–15% of patients with focal epilepsy.Case presentationThis case study involved a 44-year-old right-handed female referred tour center as a case of drug-resistant epilepsy for presurgical evaluation. After evaluation in the Epilepsy Monitoring Unit, the patient was considered a candidate for right temporal lobectomy. The patient exhibited good outcome post-temporal lobectomy.ConclusionsThis case highlights the previously observed association between peri-ictal water drinking and the non-dominant hemisphere in patients with epilepsy. Clinicians must not overlook this automatic behavior that both patients and physicians usually underestimate because drinking water is a normal phenomenon.
ISSN:1110-1083
1687-8329
DOI:10.1186/s41983-023-00694-8