Zhang Zhiyun, Li Qiwei, Jiang Tiejia, Fang Jiajia
Department of Neurology, The Fourth Affiliated Hospital, International Institutes of Medicine, Zhejiang University School of Medicine, Yiwu, 322000, China.
Department of Neurology, The Children's Hospital of Zhejiang University School of Medicine, Hangzhou, 310009, China.
Acta Epileptol. 2023 Jan 13;5(1):4. doi: 10.1186/s42494-022-00107-y.
Reflex seizures (RS) induced by micturition are extremely rare, and the clinical and electroencephalogram features of RS are not widely known among clinicians. In particular, the origin of the epileptic area is still unclear.
An 8-year-old girl who had generalized tonic-clonic seizures was diagnosed with RS induced by micturition based on the clinical manifestation and EEG recordings. We also reviewed the clinical and EEG characteristics of RS induced by micturition in literature by searching the databases of PubMed and MEDLINE using keywords "micturition reflex seizure", "reflex seizure induced by micturition", and "micturition induced seizure" by January 2022. We speculate that the mechanism of micturition-induced RS may involve excessive neuronal excitation in regions that participate in micturition.
The RS in this patient was considered to be induced by micturition. Awareness should be raised to this rare form of RS among practitioners.
排尿诱发的反射性癫痫（RS）极为罕见，其临床及脑电图特征在临床医生中并不广为人知。特别是癫痫发作区域的起源仍不明确。
一名8岁患全面性强直阵挛发作的女孩，根据临床表现及脑电图记录被诊断为排尿诱发的RS。我们还通过在PubMed和MEDLINE数据库中检索关键词“排尿反射性癫痫”、“排尿诱发的反射性癫痫”以及“排尿诱发的癫痫”，回顾了截至2022年1月文献中排尿诱发的RS的临床及脑电图特征。我们推测排尿诱发RS的机制可能涉及参与排尿的区域神经元过度兴奋。
该患者的RS被认为是由排尿诱发的。临床医生应提高对这种罕见形式RS的认识。
