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Micturition induced seizures: ictal EEG and subtraction ictal SPECT findings

Akihisa Okumura, Yoko Kondo, Takeshi Tsuji, Taketo Ikuta, Tamiko Negoro, Katsuhiko Kato, Kazuyoshi Watanabe
Epilepsy Research 2007, 73 (1): 119-21
We report an 8-year-old girl with seizures induced by micturition. Her seizures were characterized by extension of upper extremities with preserved consciousness. Magnetic resonance imaging and interictal electroencephalograms were normal. Ictal electroencephalogram showed low voltage fast waves without clear focal features followed by frontal dominant rhythmic multiple spikes. Subtraction ictal single photon emission computed tomography revealed a significant increase in blood flow in the mesial frontal area.

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