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  • Title: Ictal vomiting in a left hemisphere language-dominant patient with left-sided temporal lobe epilepsy.
    Author: Schindler K, Wieser HG.
    Journal: Epilepsy Behav; 2006 Feb; 8(1):323-7. PubMed ID: 16337434.
    Abstract:
    Ictal vomiting in patients with focal epilepsy has mostly been associated with an epileptogenic zone in the non-language-dominant hemisphere. Here we present the case of a left hemisphere language-dominant patient suffering from typical mesial temporal lobe epilepsy with histologically proven hippocampal sclerosis and ictal vomiting during complex partial seizures. He became seizure-free after selective left-sided amygdalohippocampectomy. This case implies that ictal vomiting may not necessitate invasive electrophysiological exploration of left hemisphere language-dominant patients with temporal lobe epilepsy if surface EEG and MRI indicate a left-sided epileptogenic zone. It thus corroborates that with concordant imaging and neurophysiological data, clinical signs become less valuable.
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