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Published on: December 18, 2016
Peri-ictal vegetative symptoms in temporal lobe epilepsy
J Janszky1, A Fogarasi, V Toth
1Epilepsy Center Bethel, Bielefeld, Germany. janszky@index.hu
Epilepsy & Behavior : E&B
|June 23, 2007
Summary
Peri-ictal vegetative symptoms (PIVS) in temporal lobe epilepsy (TLE) were studied. Contrary to prior research, PIVS, including postictal nose wiping (PNW), showed no lateralizing value but occurred more in women, suggesting gender differences.
Area of Science:
- Neurology
- Epilepsy Research
Background:
- Peri-ictal vegetative symptoms (PIVS) are autonomic signs occurring around epileptic seizures.
- Understanding PIVS in temporal lobe epilepsy (TLE) is crucial for seizure localization and management.
Purpose of the Study:
- To investigate the frequency, gender effect, and lateralizing value of PIVS in adult TLE patients.
- To compare findings with previous studies on PIVS and lateralization.
Main Methods:
- A cohort of 141 adult TLE patients was evaluated.
- Data on various PIVS, including abdominal auras, goosebumps, hypersalivation, spitting, cold shivering, urinary urge, water drinking, postictal nose wiping (PNW), and postictal coughing, were recorded.
- Statistical analysis assessed frequency, gender differences, and lateralizing value.
Main Results:
- At least one PIVS was observed in 86% of patients.
- Abdominal auras (62%) and postictal nose wiping (PNW) (44%) were the most frequent PIVS.
- PIVS did not demonstrate significant lateralizing value in this cohort.
- PNW and any PIVS were more frequent in women than in men.
Conclusions:
- The study found no significant lateralizing value for PIVS in adult TLE, potentially due to low occurrence frequency.
- PIVS, particularly PNW, were more prevalent in women, supporting observed gender differences in epilepsy.
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