Ictal Nose Wiping in a Patient with Mesial Temporal Lobe Epilepsy.
- Author:
Hye Sun KOH
1
;
Yang Je CHO
;
Sang Hyun JANG
;
Jin Woo CHANG
;
Byung In LEE
;
Kyoung HEO
Author Information
1. Department of Neurology, Yonsei University College of Medicine, Seoul, Korea. kheo@yuhs.ac
- Publication Type:Original Article
- Keywords:
Ictal nose wiping;
Temporal lobe epilepsy;
Amygdala
- MeSH:
Amygdala;
Epilepsy;
Epilepsy, Temporal Lobe*;
Hand;
Humans;
Magnetic Resonance Imaging;
Nose*;
Seizures;
Temporal Lobe*;
Tomography, Emission-Computed, Single-Photon
- From:Journal of Korean Epilepsy Society
2007;11(2):109-112
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Seizure-associated nose wiping occurs usually during postictal period and is more frequent in temporal than extratemporal lobe epilepsy. The hand used to wipe the nose is highly suggestive of ipsilateral partial seizure onset. We describe a patient with the left mesial temporal lobe epilepsy, who showed ictal nose wiping by the left hand. The hypothetical mechanism remains unknown but may be a response to olfactory aura or increased ictal nasal secretions. In this patient, subtraction ictal SPECT coregistered to MRI (SISCOM) study revealed hyperperfusion mainly in the left temporal lobe, especially amygdala. Our patient may support an important role of amygdala concerned with olfactory system or autonomic activity in provoking nose wiping.
