5 Key questions about temporal lobe epilepsy

Written by: Dr. Francisco Villalobos Chaves
Published: | Updated: 17/02/2018
Edited by: Top Doctors®

Temporal lobe epilepsy (TLE) is an epileptic syndrome that includes crises originating in the mesial structures and lateral temporal neocortex. It represents the epilepsy most frequent of appearance during the youth and the most frequent epilepsies recognized between focal or partial.

The main consequence is manifested in the form of social stigma, which occurs when the crises are not controlled. That is why it is important that these patients are managed by experts in epilepsy that can avoid the consequences derived from stigmatization.

 

Is it important to recognize ELT?

After a detailed evaluation of a patient, neurologists should have a diagnostic hypothesis about which epileptic syndrome is based on interviews with the patient, but also on witnesses and relatives, who explain the symptoms they see in the patient and which allows us to conclude what types of crisis suffers. It is very important to recognize the type of epilepsy early to treat it in the best way possible from the beginning. The most important cause within TLE is mesial temporal sclerosis (TMS) .

 

What symptoms do ELT show?

The patient may have complex partial epileptic seizures with consciousness disorder, simple partial seizures without consciousness disorder and generalized secondary seizures. Auras are very frequent and characteristic. These are symptoms that only the patient perceives and do not see the witnesses. Crises can spread to neighboring structures such as the frontal lobe. After the crisis there is a period of confusion that lasts a few minutes.

Patients with epilepsy usually present neuropsychological manifestations and comorbid neuropsychiatry. Among the most important neuropsychological deficits is immediate memory loss, and among neuropsychiatric disorders are depression and anxiety.

 

What are the causes of TLE?

A history of febrile seizures in infancy or the history of meningoencephalitis before 4 or 5 years are the most frequent causes in an ELT, especially if there is atrophy of a hippocampus.

Other causes unrelated to the above are dysplasias, ie a malformation of cortical development at the level of the hippocampus and the temporal amygdala, traumatic or vascular causes, cavernous angiomas, tumors in the temporal lobe, gliomas, oligodendottogliomas and infections. .

How is ELT treated?

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*Translated with Google translator. We apologize for any imperfection

By Dr. Francisco Villalobos Chaves
Neurology

Dr. Villalobos Chaves is a leading specialist in Neurology, national reference epilepsy, migraine, dementia, Alzheimer's, Parkinson's, stroke, stroke, neuropathic pain. He was founder of the medical surgical unit epilepsy Hospital Universitario Virgen del Rocío in 2004. He has been principal investigator in numerous clinical trials in the HU Virgen del Rocio in Seville. Director of the International meeting of presentation of the surgical unit for epilepsy in the U. Virgen del Rocio Hospital in Seville in 2007 as coordinator of the unit. He has directed nine international meetings a year between Spain and Portugal from 2005 to 2014 (Meeting Hispano Lusa Epilepsy), has published numerous articles and book chapters on epilepsy in national and international journals; SADE has directed several times in annual meetings in 2009 addressed the annual meeting of epilepsy SEN in Barcelona. He has participated as a speaker, moderator, discusor, organizer, and has attended numerous scientific meetings of medical societies at regional, national and international levels. He has made teaching residents in the HU Virgen del Rocio Sevilla.

*Translated with Google translator. We apologize for any imperfection

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