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Reflex seizures induced by micturition : A pediatric case and ictal EEG finding

Korean Journal of Pediatrics 2008;51(12):1346-1349.
Published online December 15, 2008.
Reflex seizures induced by micturition : A pediatric case and ictal EEG finding
Young Il Rho
Department of Pediatrics, College of Medicine, Chosun University, Gwangju, Korea
배뇨 유발 반사 발작 : 소아에서 발작시 뇌파를 시행한 1예
조선대학교 의과대학 소아과학교실
Young Il Rho, Email: ryoung@chosun.ac.kr
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.
Key Words: Reflex Seizures, Micturition, Ictal EEG

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