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Reflex seizures induced by micturition: a case report.
Zhiyun Zhang1, Qiwei Li1, Tiejia Jiang2
1Department of Neurology, The Fourth Affiliated Hospital, International Institutes of Medicine, Zhejiang University School of Medicine, Yiwu, 322000, China.
Acta Epileptologica
|April 11, 2025
Summary
Micturition-induced reflex seizures (RS) are rare neurological events. This case highlights a child with generalized tonic-clonic seizures, emphasizing the need for clinical awareness of this unusual seizure trigger.
Area of Science:
- Neurology
- Epileptology
Background:
- Reflex seizures (RS) triggered by micturition are exceptionally uncommon.
- The clinical presentation and electroencephalogram (EEG) characteristics of micturition-induced RS are not well-documented.
- The precise origin of the epileptic focus in these seizures remains uncertain.
Purpose of the Study:
- To report a case of a child diagnosed with micturition-induced reflex seizures.
- To review and characterize the clinical and EEG features of micturition-induced RS from existing literature.
- To explore potential mechanisms underlying micturition-induced seizures.
Main Methods:
- A case study of an 8-year-old girl with generalized tonic-clonic seizures.
- Diagnosis confirmed through clinical observation and EEG recordings.
- Systematic literature review of PubMed and MEDLINE databases using specific keywords related to micturition-induced seizures up to January 2022.
Main Results:
- The patient was diagnosed with reflex seizures induced by micturition.
- Literature review aimed to consolidate understanding of clinical and EEG patterns.
- Hypothesized mechanism involves excessive neuronal excitation in micturition-related brain regions.
Conclusions:
- The presented case confirms micturition as a trigger for reflex seizures.
- Increased practitioner awareness of this rare seizure type is crucial.
- Further research may elucidate the specific neurobiological pathways involved.
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01:19Seizures ll: Types
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