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From the Epilepsy Center (Drs. Janszky, Szücs, Halász, and Holló, and C. Borbély and Z. Mirnics) and Department of Neuroradiology (Dr. Barsi), National Institute of Psychiatry and Neurology Budapest, Hungary.
Address correspondence and reprint requests to Dr. J. Janszky, Orszagos Pszichiatriai es Neurologiai Intezet, 1. Neurologia, Hüvösvölgyi ut 116. Budapest, 1021 Hungary; e-mail: janszky{at}opni.hu
The authors present a patient with right mesiotemporal epileptogenic region who experienced orgasmic epileptic aura. Twenty-two similar published cases were also evaluated. Among 15 patients with unilateral EEG foci, 13 (87%) had right and 2 (13%) had left focus. All of the nine patients who had sufficient data on ictal onset area had right-sided seizure onset. The authors suggest that orgasmic aura is an ictal lateralizing sign to the right hemisphere.
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J Janszky, R Schulz, I Janszky, and A Ebner Medial temporal lobe epilepsy: gender differences J. Neurol. Neurosurg. Psychiatry, May 1, 2004; 75(5): 773 - 775. [Abstract] [Full Text] [PDF] |
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