Electroclinical characteristics of posterior lateral temporal epilepsy

Autor: Si-pei Pan, Xing-zhou Liu, Mengyang Wang, Shuhua Chen, Fang Wang
Rok vydání: 2013
Předmět:
Zdroj: Epilepsy & Behavior. 26:126-131
ISSN: 1525-5050
DOI: 10.1016/j.yebeh.2012.09.036
Popis: The current study aimed to investigate the electroclinical differences between mesial temporal lobe epilepsy (MTLE) and posterior lateral temporal lobe epilepsy (PLTLE). All patients had Engel class I outcomes after surgery for at least one year. In MTLE patients, the epileptogenic zone was inside the boundary of a standard temporal lobectomy, whereas in PLTLE, the epileptogenic zone was behind the boundary of a standard temporal lobectomy. Febrile convulsion, history of psychic aura, oroalimentary automatism, and diffuse interictal epileptiform discharges were more frequent in MTLE. Theta wave and increasing heart rate were more evident at the seizure onset in MTLE, whereas an ictal onset fast rhythm was more evident in PLTLE. Tonic head turning was more frequent in PLTLE. Distinguishing between MTLE and PLTLE was easier than distinguishing MTLE from lateral TLE (LTLE), which may be helpful in planning epilepsy surgery. Combinations of these manifestations and signs can provide vital clues to distinguish between MTLE and PLTLE.
Databáze: OpenAIRE