Rengarajan Ronak, Shamim Sadat
Department of Internal Medicine, Baylor University Medical Center, Dallas, Texas.
Division of Neurology, Baylor University Medical Center, Dallas, Texas.
Proc (Bayl Univ Med Cent). 2018 Feb 1;31(1):109-111. doi: 10.1080/08998280.2017.1400880. eCollection 2018 Jan.
Seizures may present with many different symptom complexes. Seizure semiologies have localization value when contemplating surgical therapies. Epilepsy presenting as a desire to micturate is exceedingly rare, with only a handful of published cases. We present a patient who had initially unexplained childhood urinary urge that progressed into lapses of memory and confusion that was eventually diagnosed as epilepsy in adulthood. Due to refractoriness to medical management, our patient's epileptic focus was localized through both noninvasive and invasive subdural electrode arrays to the nondominant medial temporal lobe and successfully treated with an amygdalohippocampectomy. Only one other case of ictal urinary urgency seizures has been recorded with intracranial electroencephalogram monitoring in the literature.
癫痫发作可能表现出许多不同的症状组合。在考虑手术治疗时，癫痫发作的症状学具有定位价值。以排尿欲望为表现的癫痫极为罕见，仅有少数病例报道。我们报告一名患者，其最初在儿童期出现不明原因的尿急，随后发展为记忆丧失和意识模糊，最终在成年期被诊断为癫痫。由于药物治疗效果不佳，通过非侵入性和侵入性硬膜下电极阵列将患者的癫痫病灶定位至非优势侧颞叶内侧，并成功进行了杏仁核海马切除术。文献中仅有另一例发作性尿急癫痫通过颅内脑电图监测被记录。
