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Ictal urinary urge: localization and lateralization value in a pediatric case
Sanem Yilmaz1, Sarenur Gokben2, Tuncer Turhan3
1Department of Pediatrics, Division of Child Neurology, Ege University Medical Faculty, Izmir, Turkey. sanem.yilmaz@ege.edu.tr.
Summary
Ictal urinary urge, a rare seizure symptom, can help pinpoint seizure origin. This case highlights its value in localizing and lateralizing temporal lobe epilepsy.
Area of Science:
- Neurology
- Epileptology
- Neuroscience
Background:
- Ictal urinary urge is an uncommon autonomic seizure symptom.
- It typically lateralizes to the non-dominant hemisphere.
- It often localizes to the temporal lobe.
Observation:
- A 12-year-old boy presented with urinary urge and left arm contractions.
- He experienced stomach discomfort and fear for one year.
- Previous diagnoses included gastroesophageal reflux and cystitis.
Findings:
- Cranial MRI revealed a right temporal lobe intra-axial mass.
- Pathology confirmed a low-grade glial tumor.
- The patient's symptoms were consistent with focal seizures.
Implications:
- Ictal urinary urge is a valuable localizing and lateralizing sign in epilepsy.
- This symptom aids in identifying the seizure focus, particularly in temporal lobe epilepsy.
- Early recognition can improve diagnostic accuracy and treatment strategies.
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