Ictal Vomiting in Association with Left Temporal Lobe Seizures in a Left Hemisphere Language–Dominant Patient
Article first published online: 8 NOV 2002
Volume 43, Issue 11, pages 1432–1435, 2002
How to Cite
Schäuble, B., Britton, Jeffrey W., Mullan, Brian P., Watson, J., Sharbrough, Frank W. and Marsh, W. Richard. (2002), Ictal Vomiting in Association with Left Temporal Lobe Seizures in a Left Hemisphere Language–Dominant Patient. Epilepsia, 43: 1432–1435. doi: 10.1046/j.1528-1157.2002.40701.x
- Issue published online: 8 NOV 2002
- Article first published online: 8 NOV 2002
- Accepted June 18, 2002.
- Ictal vomiting;
- EEG monitoring;
- Epilepsy surgery;
- Lesional epilepsy;
- Medically refractory partial epilepsy;
- Ictal semiology
Summary: Ictal vomiting is considered a localizing sign indicating nondominant lateralization in patients with partial seizures of temporal lobe origin. We report a case of ictal vomiting associated with left temporal seizure activity in a left hemisphere language–dominant patient with a left mesial temporal glioma. Bilateral mesial temporal depth electrodes helped verify seizure lateralization. Surgery consisting of tumor resection and a left anterior temporal lobectomy and amygdalohippocampectomy resulted in freedom from seizures and episodes of vomiting. This case indicates that ictal vomiting can occur as a manifestation of left temporal onset seizures in left hemisphere–dominant patients.