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

## TL;DR

A 22-year-old Omani man with epilepsy exhibited a rare behavior called peri-ictal water drinking, which was identified and treated in a hospital in Muscat.

## Contribution

This is the second reported case of peri-ictal water drinking in the region, highlighting its rarity and diagnostic challenges.

## Key findings

- Peri-ictal water drinking was identified as an epileptic manifestation in the patient.
- The behavior was misinterpreted by the patient's family before medical evaluation.
- The case emphasizes the need for awareness of rare epilepsy-related behaviors in clinical practice.

## Abstract

Peri-ictal water drinking (PIWD) is a rare vegetative manifestation of temporal lobe epilepsy without a definite lateralisation value. We report a case of PIWD in a 22-year-old Omani male patient 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 characterised in the epilepsy-monitoring unit as a manifestation of epilepsy that was treated medically. To the best of the authors’ knowledge, this is the second reported case in the region.