Peri-ictal Water Drinking in an Omani Patient with Bilateral Mesial Temporal Sclerosis

Abstract

Peri-ictal water drinking (PIWD) is a rare vegetative manifestation of temporal lobe epilepsy without a definite lateralization value. We report a case of PIWD in a 22-year-old Omani man with post-concussion syndrome and epilepsy presented to a tertiary care hospital in Muscat, Oman in 2021 for evaluation of paroxysmal events. His behaviour of PIWD was misinterpreted by his family until characterized in the epilepsy-monitoring unit as a manifestation of epilepsy that was treated medically. To our knowledge, this is the second reported case in our region.

Keywords: Peri-ictal water drinking, Ictal Spitting, Epilepsy, Autonomic.