Sometimes intval just won't cut it. For example if you want to use an unsigned 32-bit int and need all 32 bits. Recently, I wrote a little script that took and integer and converted it to an IP address. After realizing I couldn't just mod the whole thing, since the sign bit throws it off (and compensating for that), we ran into a problem where if it was entered into a form, the value somehow wasn't converted to an integer properly, at least not implicitly. The solution for this, and the way I recommend converting a string to an integer, is:
$num = $num + 0;
and PHP will leave your number alone; it'll just know it's a number. Such is the fun of a loosely-typed language. :)