Reflex seizures induced by micturition: a case report.

IF 1.2 Q4 CLINICAL NEUROLOGY Acta Epileptologica Pub Date : 2023-01-13 DOI:10.1186/s42494-022-00107-y
Zhiyun Zhang, Qiwei Li, Tiejia Jiang, Jiajia Fang
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Abstract

Background: 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.

Case presentation: 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.

Conclusions: The RS in this patient was considered to be induced by micturition. Awareness should be raised to this rare form of RS among practitioners.

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排尿诱发反射性癫痫1例
背景:排尿引起的反射性癫痫(RS)极为罕见,临床医生对RS的临床和脑电图特征知之甚少。特别是,癫痫区起源仍不清楚。病例介绍:一名8岁女童,因全身性强直阵挛发作,经临床表现及脑电图诊断为排尿所致RS。检索PubMed和MEDLINE数据库,检索关键词为“排尿反射性癫痫发作”、“排尿诱发反射性癫痫发作”和“排尿诱发性癫痫发作”,检索截至2022年1月的文献,回顾排尿诱发RS的临床和脑电图特征。我们推测排尿诱导RS的机制可能涉及参与排尿区域的过度神经元兴奋。结论:本例RS可考虑为排尿所致。应提高从业人员对这种罕见RS的认识。
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来源期刊
Acta Epileptologica
Acta Epileptologica Medicine-Neurology (clinical)
CiteScore
2.00
自引率
0.00%
发文量
38
审稿时长
20 weeks
期刊最新文献
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