Pietrafusa Nicola, Trivisano Marina, de Palma Luca, Serino Domenico, Moavero Romina, Benvenga Antonella, Cappelletti Simona, Boero Giovanni, Vigevano Federico, La Neve Angela, Specchio Nicola
Division of Neurology, Department of Neuroscience, Bambino Gesù Children's Hospital IRCCS, Rome, Department of Basic Medical Sciences, Neurosciences and Sense Organs, University of Bari, Bari.
Division of Neurology, Department of Neuroscience, Bambino Gesù Children's Hospital IRCCS, Rome.
Epileptic Disord. 2015 Dec;17(4):384-96. doi: 10.1684/epd.2015.0776.
Peri-ictal water drinking (PIWD) has been reported as the action of drinking during or within two minutes of an electroclinical seizure. It is considered a peri-ictal vegetative symptom, evident both during childhood and adulthood epilepsy. The aim of this paper was to describe the clinical and electroencephalographic features of two new adult subjects suffering from symptomatic temporal lobe epilepsy with episodes of PIWD recorded by VIDEO-EEG and to review literature data in order to better define this peculiar event during seizures, a rare and probably underestimated semiological sign. To date, 51 cases with focal epilepsy and seizures associated with PIWD have been reported. All patients presented with temporal lobe epilepsy. All cases but one had symptomatic epilepsy. Most of the patients had an involvement of the right hemisphere. Water drinking was reported as an ictal sign in the majority of patients, and less frequently was reported as postictal. We believe that PIWD might be considered a rare automatic behaviour, like other automatisms. Automatisms are more frequently described in patients with temporal lobe epilepsy. PIWD was reported also to have lateralizing significance in the non-dominant temporal lobe, however, because of its rarity, this finding remains unclear.
发作期饮水（PIWD）被报道为在临床发作期间或发作后两分钟内的饮水行为。它被认为是一种发作期的自主神经症状，在儿童和成人癫痫中均有表现。本文的目的是描述两名患有症状性颞叶癫痫的成年新病例的临床和脑电图特征，这两名患者的发作期饮水发作通过视频脑电图记录，并回顾文献数据，以便更好地定义癫痫发作期间这一特殊事件，这是一种罕见且可能被低估的症状学体征。迄今为止，已报道51例伴有发作期饮水的局灶性癫痫病例。所有患者均为颞叶癫痫。除1例外，所有病例均为症状性癫痫。大多数患者右侧半球受累。大多数患者的饮水被报道为发作期体征，较少被报道为发作后期体征。我们认为发作期饮水可能被视为一种罕见的自动行为，如同其他自动症。自动症在颞叶癫痫患者中更为常见。然而，尽管发作期饮水在非优势颞叶也被报道具有定侧意义，但由于其罕见性，这一发现仍不明确。
