Epilepsy Centre Brno, First Department of Neurology, St Anne's University Hospital and Faculty of Medicine, Masaryk University, Brno, Czech Republic.
Epilepsy Behav. 2010 Nov;19(3):372-5. doi: 10.1016/j.yebeh.2010.07.010. Epub 2010 Aug 25.
We retrospectively investigated rare peri-ictal vegetative symptoms (PIVS) in 380 seizures of 97 patients with temporal lobe epilepsy (TLE): 234 seizures of 60 patients with TLE with mesiotemporal sclerosis (TLE/MTS) and 146 seizures of 37 patients with TLE with other lesions (TLE/non-MTS) who were at least 2 years after epilepsy surgery and classified as Engel I. We assessed the following PIVS: peri-ictal cough (pC), peri-ictal water drinking (pWD), peri-ictal vomiting (pV), and peri-ictal spitting (pS). We observed pC in 24.7% of patients and 10% of seizures; pWD in 14.4% of patients and 5.9% of seizures; pV and pS occurred more rarely. Both pWD and pC occurred significantly more often in those with TLE of the non- language-dominant hemisphere. The limited occurrence of pV and pS made it impossible to perform statistical analysis for these symptoms. In patients with TLE, pC and pWD were quite frequent; we observed pV and pS less frequently. Both pC and pWD have a significant lateralizing value in TLE.
我们回顾性研究了 97 例颞叶癫痫（TLE）患者 380 次发作中的罕见发作期植物神经症状（PIVS）：60 例有颞叶内侧硬化（TLE/MTS）的 TLE 患者中有 234 次发作，37 例有其他病变（TLE/non-MTS）的 TLE 患者中有 146 次发作，这些患者均在癫痫手术后至少 2 年，且分类为 Engel I。我们评估了以下 PIVS：发作期咳嗽（pC）、发作期饮水（pWD）、发作期呕吐（pV）和发作期吐痰（pS）。我们观察到 24.7%的患者和 10%的发作存在 pC，14.4%的患者和 5.9%的发作存在 pWD；pV 和 pS 则更为少见。pWD 和 pC 在非优势半球 TLE 患者中更为常见。pV 和 pS 的发生次数有限，无法进行这些症状的统计学分析。在 TLE 患者中，pC 和 pWD 相当常见；我们观察到 pV 和 pS 则相对少见。pC 和 pWD 在 TLE 中均具有显著的侧化价值。
