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Partial complex epileptic seizures with ictal urogenital manifestation in a child
S Inthaler1, F Donati, E Pavlincova
1Department of Pediatrics, University of Berne, Switzerland.
Insights
Rare ictal sexual phenomena, including genital automatisms and urinary urges, were observed in a 6-year-old boy during partial complex epileptic seizures. The EEG confirmed epileptic activity in the left temporal region during these events.
Area of Science:
- Neurology
- Pediatric Epilepsy
- Neuroscience
Background:
- Ictal sexual manifestations during partial complex seizures are infrequently documented, particularly in pediatric cases.
- Existing literature primarily focuses on adult patients experiencing these rare seizure-related phenomena.
Observation:
- A 6-year-old boy presented with partial complex epileptic seizures.
- These seizures were characterized by confusion, oral and genital automatisms, and a compelling urge to urinate.
Findings:
- Electroencephalogram (EEG) during a seizure revealed rhythmic epileptic discharges localized to the left temporal region.
- The observed urogenital manifestations correlated with the epileptic activity.
Implications:
- This case highlights the occurrence of ictal sexual and urogenital phenomena in pediatric epilepsy.
- It underscores the importance of considering temporal lobe epilepsy in the differential diagnosis of such symptoms in children.
- Further research is needed to understand the neurobiological mechanisms underlying these rare manifestations in young patients.
Abstract:
Ictal sexual manifestations, like somatosensory genital phenomena, sexual emotions or sexual automatisms during a partial complex seizure, are very rare. So far the literature has above all described cases in adulthood. We report on a 6-year-old boy with partial complex epileptic seizures which led to confusion, oral and genital automatisms and the urge to urinate. During one epileptic seizure with these urogenital manifestations the EEG showed an epileptic rhythmic discharge over the left temporal region.