Ictal urge to defecate associated with a right-sided mesial temporal cavernoma

Abstract A 69-year-old right-handed woman experienced, several times a day, a stereotyped feeling of warmth, rapidly followed by an urge to defecate. Magnetic resonance imaging revealed a right-sided mesial temporal cavernoma, and interictal electroencephalogram showed ipsilateral temporofrontal sha...

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Bibliographic Details
Published in:Epilepsy & behavior 2012-06, Vol.24 (2), p.272-273
Main Authors: Taieb, Guillaume, Renard, Dimitri, Labauge, Pierre, Janicot, François, Briere, Caroline
Format: Article
Language:English
Subjects:
Aged
Autonomic Nervous System - physiopathology
Brain
Cavernoma
Central autonomic network
Colonoscopy
Defecation - physiology
EEG
Electroencephalography
Epilepsy
Female
Handedness
Hemangioma, Cavernous, Central Nervous System - psychology
Humans
Ictal
Magnetic Resonance Imaging
Mesial temporal lobe
Nerve Net - physiopathology
Neurology
Non-dominant hemisphere
Seizure
Seizures - psychology
Temporal Lobe - pathology
Urge to defecate
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Summary:Abstract A 69-year-old right-handed woman experienced, several times a day, a stereotyped feeling of warmth, rapidly followed by an urge to defecate. Magnetic resonance imaging revealed a right-sided mesial temporal cavernoma, and interictal electroencephalogram showed ipsilateral temporofrontal sharp waves. A brain lesion was absent in the only two earlier reported cases of an ictal urge to defecate. In our patient, the ictal urge to defecate seems to involve the non-dominant hemisphere and seems to probably be affecting the autonomic network.
ISSN:1525-5050
1525-5069
DOI:10.1016/j.yebeh.2012.04.112