Electro-clinical correlation of rinch and <i>peri</i>-ictal vegetative symptoms.

ABSTRACT: Rhythmic ictal non-clonic hand (RINCH) movements and peri-ictal vegetative symptoms (PIVS) are rare semiological signs in temporal lobe epilepsy (TLE). RINCH refers to rhythmic, low-amplitude, complex hand movements that typically lateralize to the contralateral hemisphere, while PIVS includes manifestations such as ictal spitting and post-ictal coughing, more frequently associated with non-dominant TLE. We report a unique case of a 40-year-old woman with drug-resistant dominant TLE who exhibited both RINCH and PIVS as part of her habitual seizures. Non-invasive EEG and imaging localized the seizure onset to the left anterior temporal region. Stereoelectroencephalography (SEEG) confirmed seizure onset in the left mesial temporal pole with rapid propagation to the hippocampus, amygda

SUBMITTER: Nagabushana D 

PROVIDER: S-EPMC12547204 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature