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Micturition induced reflex epilepsy
S Pradhan1, J Kalita1, Kalita Jayantee1
1Department of Neurology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow - 226001, India.
Neurology India
|March 16, 2018
Summary
This study details a rare case of reflex epilepsy triggered by micturition. Generalized tonic-clonic seizures were observed, with imaging suggesting an unusual frontal lobe focus.
Area of Science:
- Neurology
- Epileptology
Background:
- Reflex epilepsy can be induced by various sensory, motor, or cognitive stimuli.
- While typically triggered by simple acts, complex triggers are occasionally reported.
Purpose of the Study:
- To report a unique case of reflex epilepsy precipitated by the act of micturition.
- To investigate the neuroimaging findings associated with this rare reflex epilepsy presentation.
Main Methods:
- Case report detailing a patient experiencing seizures.
- Computed Tomography (CT) scan and Electroencephalogram (EEG) were utilized for diagnostic assessment.
Main Results:
- The patient presented with generalized tonic-clonic seizures, occurring independently and post-micturition.
- CT and EEG indicated a right frontal lobe focus, a highly atypical finding for reflex epilepsy.
Conclusions:
- Micturition can act as a trigger for reflex epilepsy.
- The presence of a frontal lobe focus in this case challenges existing understandings of reflex epilepsy localization.
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