From the Department of Pediatric Neurology, Epilepsy Monitoring Unit, National Neuroscience Institute, King Fahad Medical City, Riyadh, Kingdom Of Saudi Arabia.
Neurosciences (Riyadh). 2021 Jan;26(1):85-88. doi: 10.17712/nsj.2021.1.20200074.
Neuro-vegetative features have been linked to epilepsy arising from the temporal lobe, which can be seen during ictal events and play an important role in determining the focal side of the lesion. Among the rare known features is peri-ictal water drinking (PIWD). Here, we present the case of a 31-year-old male with refractory temporal epilepsy, having episodes of PIWD. The patient was considered a candidate for resective surgery and was investigated accordingly, including long-term video electroencephalogram (EEG), brain magnetic resonance imaging (MRI), and neuropsychology assessment, which pointed towards a lesioned temporal lobe over the non-dominant hemisphere. The patient had an excellent outcome following right anterior temporal lobectomy. The lateralization significance of PIWD has not yet been established definitively in the literature, partly due to a limited number of published cases. This case highlights the previously observed association between PIWD and the involvement of the non-dominant hemisphere in epilepsy patients.
神经植物性功能与起源于颞叶的癫痫有关，这些功能可在发作期事件中观察到，并在确定病变的局灶侧方面发挥重要作用。在已知的罕见特征中有一种是发作期饮水（PIWD）。在这里，我们介绍了一位 31 岁的男性病例，他患有难治性颞叶癫痫，发作期出现 PIWD。患者被认为是可进行切除术的候选者，并进行了相应的检查，包括长期视频脑电图（EEG）、脑磁共振成像（MRI）和神经心理学评估，这些检查指向非优势半球的颞叶病变。患者在接受右侧前颞叶切除术治疗后效果极佳。PIWD 的侧化意义在文献中尚未得到明确确定，部分原因是发表的病例数量有限。该病例突出了之前观察到的 PIWD 与癫痫患者非优势半球受累之间的关联。
