Peri-ictal vegetative symptoms in temporal lobe epilepsy

Abstract We investigated peri-ictal vegetative symptoms (PIVS) in 141 patients with adult temporal lobe epilepsy (TLE) and assessed frequency, gender effect, and lateralizing value of peri-ictal autonomic signs. We recorded abdominal auras in 62%, goosebumps in 3%, hypersalivation in 12%, spitting i...

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Bibliographic Details
Published in:Epilepsy & behavior 2007-08, Vol.11 (1), p.125-129
Main Authors: Janszky, J, Fogarasi, A, Toth, V, Magalova, V, Gyimesi, C, Kovacs, N, Schulz, R, Ebner, A
Format: Article
Language:English
Subjects:
Adolescent
Adult
Automatism - complications
Autonomic Nervous System - physiopathology
Autonomic symptoms
Behavioral Symptoms - complications
Chi-Square Distribution
Epilepsy, Temporal Lobe - complications
Epilepsy, Temporal Lobe - physiopathology
Female
Functional Laterality
Gender differences
Humans
Lateralizing signs
Male
Middle Aged
Neurology
Retrospective Studies
Sex Factors
Statistics, Nonparametric
Temporal lobe epilepsy
Videotape Recording
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Summary:Abstract We investigated peri-ictal vegetative symptoms (PIVS) in 141 patients with adult temporal lobe epilepsy (TLE) and assessed frequency, gender effect, and lateralizing value of peri-ictal autonomic signs. We recorded abdominal auras in 62%, goosebumps in 3%, hypersalivation in 12%, spitting in 1%, cold shivering in 3%, urinary urge in 3%, water drinking in 7%, postictal nose wiping (PNW) in 44%, and postictal coughing in 16%. At least one vegetative sign appeared in 86% of the patients. The presence of PIVS did not have a significant lateralizing value. PNW occurred in 52% of women and in 33% of men, whereas any PIVS was present in 93% of women and 77% of men. In summary, contradictory to previous studies, the presence of PIVS has no lateralizing value, which may be linked to a low frequency of occurrence of PIVS. PIVS, especially PNW, occurred more frequently in women, supporting the gender differences in epilepsy.
ISSN:1525-5050
1525-5069
DOI:10.1016/j.yebeh.2007.04.015