Ictal vomiting in partial seizures of temporal lobe origin

We report 3 cases presenting ictal vomiting during partial seizures of temp oral lobe origin. Two patients had complex partial seizures accompanying vo miting characteristics. Ictal vomiting occurred early in the course of the seizure when rhythmic discharges involved predominantly the left hemispere, the language dominance hemispere, The other patient had ictal vomiting in simple partial seizures wh ich originated from the rig ht temporal robe or the language nondominant side, All 3 patients underwent anterior temporal l obectomy with promising outcomes. Pathologic diagnosis included hippocampal sclerosis in 2 patients and astrocytoma in 1 patient, In our patients, ict al vomiting does not lateralize temporal lobe epilepsy and is not specific to pathology. Copyright (C) 1999 S. Karger AG, Basel.