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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
PubMed
Summary
This summary is machine-generated.

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.

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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.