Variability of presentation in medial temporal lobe epilepsy: A study of 30 operated cases

被引:47
作者
Adam, C
Clemenceau, S
Semah, F
Hasboun, D
Samson, S
Aboujaoude, N
Samson, Y
Baulac, M
机构
[1] HOP LA PITIE SALPETRIERE, CLIN NEUROL PAUL CASTAIGNE, F-75651 PARIS 13, FRANCE
[2] HOP LA PITIE SALPETRIERE, SERV NEUROPHYSIOL, F-75651 PARIS 13, FRANCE
[3] HOP LA PITIE SALPETRIERE, SERV NEUROCHIRURG, F-75651 PARIS 13, FRANCE
[4] HOP LA PITIE SALPETRIERE, SERV NEURORADIOL, F-75651 PARIS 13, FRANCE
[5] SERV HOSP FREDERIC JOLIOT, INSERM U334, DRIPP, CEA, ORSAY, FRANCE
来源
ACTA NEUROLOGICA SCANDINAVICA | 1996年 / 94卷 / 01期
关键词
temporal lobe epilepsy; neurosurgery; medial temporal sclerosis; positron emission tomography; magnetic resonance imaging; electroencephalography; implanted electrodes;
D O I
10.1111/j.1600-0404.1996.tb00031.x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Introduction - To evaluate the homogeneity of patients operated on for MTLE. Material and methods - 30 consecutive patients prospectively investigated with clinical, EEG, neuropsychology, MRI, FDG-PET criteria and eventually intracranial EEG, who underwent antero-medial temporal resection (follow-up: 24 months). Results - Clear and well-lateralised MTLE was non-invasively ascertained in 22 patients (73%). Eight patients (27%) had a less pure presentation due to divergent scalp EEG features (bitemporal, widespread or extratemporal), unusual auras or absence of MRI-based hippocampal sclerosis or FDG-PET hypometabolism. They were explored by invasive monitoring which confirmed medial temporal origin of seizures. Outcome was excellent in 95% of the pure cases (Engel's class I) and less favorable in the more difficult ones (65% of class I). Conclusions - MTLE criteria, including the strong contribution of brain imaging, permit to select accurately a large percentage of patients. However a consistant number of patients present a less pure presentation suggesting more complex epileptogenic networks.
引用
收藏
页码:1 / 11
页数:11
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