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January 1964

Psychomotor Epilepsy With Micturition

Author Affiliations


Assistant Professor of Neurology and Psychiatry, Northwestern University Medical School (Dr. Zivin); Resident in Neurosurgery, Evanston Hospital (Dr. Rowley).

Arch Intern Med. 1964;113(1):8-13. doi:10.1001/archinte.1964.00280070010003

Syncope in relation to micturition, micturition syncope, has been described since 1957.1 Although the mechanism is unknown, it is presumed to be of a vasovagal nature 1,4,8,9 with resultant hypotension and cerebral anemia 3,6; it has been likened to the Valsalva effect.5,7,10 Epileptic phenomena have been alluded to on one occasion 2 in the literature as well as in discussions of micturition syncope in other papers, and, although it has been stated that micturition syncope could be a form of epilepsy,2,9,11 in none of these papers were clinical specifics delineated to substantiate such an etiology. For this reason and to this end the following case study is presented.

Report of a Case 

Case History.  —The patient was a 14-year-old student whose development was considered normal. There was no history of head injury, and there was no antecedent history of syncope or seizure activity.In March, 1962, he

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