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February 1984

Eructation in Seizure

Author Affiliations

246 S Washington Casper, WY 82601

Arch Neurol. 1984;41(2):135. doi:10.1001/archneur.1984.04050140033009

To the Editor.  —Mitchell et al1 and Jacome and Fitzgerald2 reported cases of spontaneous autonomic seizures with vomiting. Complementary to their observations, we describe a 65-year-old man who had a seizure manifested only by eructation.

Report of a Case.  —A 65-year-old man was admitted to the hospital after having his first and only generalized seizure during sleep. It was noted, however, that after he had became responsive, he had episodes of eructation. During one of these episodes, an EEG showed paroxysmal 4-Hz activity. This activity was not confined to the left hemisphere but was more prominent in the left frontotemporal area. The patient reported that he had had similar episodes for three or four months prior to his admission to the hospital. Neurologic examination results were normal, except for the fact that he had no knee or ankle reflexes. The patient also had a distal symmetric decrease to

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