Clinical and Experimental Pediatrics

The Korean Pediatric Society (대한소아청소년과학회)
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Reflex seizures induced by micturition : A pediatric case and ictal EEG finding

배뇨 유발 반사 발작 : 소아에서 발작시 뇌파를 시행한 1예

  • Rho, Young Il (Department of Pediatrics, College of Medicine, Chosun University)
  • 노영일 (조선대학교 의과대학 소아과학교실)
  • Received : 2008.08.25
  • Accepted : 2008.10.10
  • Published : 2008.12.15
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Abstract

Reflex seizures induced by micturition are rare, and there have been few reports on ictal electroencephalogram (EEG) findings. Here, we report a 7-year-old boy with secondarily generalized partial seizures induced by micturition. The seizures occurred every time he urinated. A few seconds after micturition begun, he toppled down with hand automatism followed by a secondarily generalized tonic posture and loss of consciousness. Ictal video-EEG recording during urination was performed. An ictal EEG demonstrated a polyspike wave discharge onset from the left frontotemporal region, with rapid spread to the right frontotemporal region. He was treated with the antiepileptic drug valproate sodium, which improved seizure control. He remained seizure-free until the last followup for a period of 2 years.

배뇨 유발 반사발작은 매우 드물며, 문헌상에서 단지 8례가 보고되었으며, 발작기 뇌파로 진단한 예는 국내에서 보고된 바 없다. 7세 남아가 이차전신화 부분발작을 주소로 내원하였다. 발작은 단지 배뇨 수초 후에 시작되었으며 손의 자동증과 함께 비틀거리며 쓰러지면서 의식소실과 함께 이차적으로 전신 강직 발작을 하였다. 발작기 뇌파에서 왼측 전두부와 측두부에서 다극서파가 보이다가 오른쪽 전두부와 측두부로 퍼져나가는 소견을 보여 배뇨 유발성 이차 전신화 부분발작으로 진단되어 보고하는 바이다.

Keywords

References

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Cited by

  1. Central Regulation of Micturition and Its Association With Epilepsy vol.22, pp.1, 2008, https://doi.org/10.5213/inj.1836040.020