scholarly journals Slowly Evolving Trends in Temporal Lobe Epilepsy Management at London Health Sciences Centre

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Warren T. Blume

Although the advent of MRI impacted significantly our presurgical investigation, ictal semiology with interictal and ictal EEG has clearly retained its roles in localizing epileptogenesis. MRI-identified lesions considered epileptogenic on semiological and electroencephalographic grounds have increased the likelihood of resective surgery effectiveness whereas a nonlesional MRI would diminish this probability. Ictal propagation and the interplay between its source and destination have emerged as a significant component of seizure evaluation over the past 30 years.

Author(s):  
Mohammed M. Jan ◽  
Mark Sadler ◽  
Susan R. Rahey

Electroencephalography (EEG) is an important tool for diagnosing, lateralizing and localizing temporal lobe seizures. In this paper, we review the EEG characteristics of temporal lobe epilepsy (TLE). Several “non-standard” electrodes may be needed to further evaluate the EEG localization, Ictal EEG recording is a major component of preoperative protocols for surgical consideration. Various ictal rhythms have been described including background attenuation, start-stop-start phenomenon, irregular 2-5 Hz lateralized activity, and 5-10 Hz sinusoidal waves or repetitive epileptiform discharges. The postictal EEG can also provide valuable lateralizing information. Postictal delta can be lateralized in 60% of patients with TLE and is concordant with the side of seizure onset in most patients. When patients are being considered for resective surgery, invasive EEG recordings may be needed. Accurate localization of the seizure onset in these patients is required for successful surgical management.


2019 ◽  
Vol 130 (9) ◽  
pp. 1604-1610
Author(s):  
Xi Liu ◽  
Shasha Wu ◽  
Ahmad Daif ◽  
Taixin Sun ◽  
Varun Chauhan ◽  
...  

1994 ◽  
Vol 48 (2) ◽  
pp. 221-229 ◽  
Author(s):  
Tadahiro Mihara ◽  
Yushi Inoue ◽  
Yutaka Watanabe ◽  
Kazumi Matsuda ◽  
Takayasu Tottori ◽  
...  

2009 ◽  
Vol 86 (2-3) ◽  
pp. 224-227 ◽  
Author(s):  
Hyunmi Choi ◽  
Richard Carlino ◽  
Gary Heiman ◽  
W. Allen Hauser ◽  
Frank G. Gilliam

2007 ◽  
Vol 77 (1) ◽  
pp. 22-30 ◽  
Author(s):  
G.N. Meldolesi ◽  
G. Di Gennaro ◽  
P.P. Quarato ◽  
V. Esposito ◽  
L.G. Grammaldo ◽  
...  

1997 ◽  
Vol 14 (5) ◽  
pp. 453
Author(s):  
Edward Mader ◽  
Bruce Fisch ◽  
Piotr Olejniczak ◽  
Ranjith Wijesinghe

2014 ◽  
Vol 130 (2) ◽  
pp. 103-110 ◽  
Author(s):  
J. Breedlove ◽  
T. Nesland ◽  
W. A. Vandergrift ◽  
L. E. Betting ◽  
L. Bonilha

2010 ◽  
Vol 121 ◽  
pp. S139
Author(s):  
S. Sailaja ◽  
S. Chaya ◽  
M. Panigrahi ◽  
C. Sundaram ◽  
S.J.L. Sita

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