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Acta Neurológica Colombiana

Print version ISSN 0120-8748

Abstract

ORTIZ GIRALDO, Blair; NARANJO ATEHORTUA, Luis Fermín; CORNEJO OCHOA, José William  and  SOLARTE MILA, Rodrigo Andrés. Clinical, electroencephalographic and imagenological features of adults with temporal lobe epilepsy in the Universidad de Antioquia's Epilepsy Program: Descriptive-restrospective study in Medellín 2008-2012. Acta Neurol Colomb. [online]. 2017, vol.33, n.4, pp.214-218. ISSN 0120-8748.  https://doi.org/10.22379/24224022159.

Clinical, electroencephalographic and imagenologic facts in adults with temporal lobe epilepsy (TLE) belonging Universidad de Antioquia's Epilepsy Program were established.

METHODS:

Descriptive, retrospective and observational study of 41 patients older 18 years who had typical semiology or TLE diagnosis, video electroencephalographic (EEG) monitoring and cerebral magnetic resonance imaging (MRI).

RESULTS:

51.2% were males, most frequent epilepsy was mesial (90.2%), 70.3% patients had aura-preceding seizure and epigastric was the most common (34.2%); automatisms were found in 97.5% patients and the most common was oral-feeding (80.6%); 61% patients had secondary generalization. Main antecedents were febrile seizures (34.1%) and trauma brain injury in 26.8%. EEG recording show dissemination further temporal lobe in 75.6% patients and hippocampal sclerosis (HS) is the first cause.

CONCLUSIONS:

TLE have manifestations and EEG facts widely heterogeneous, HS are the most frequent causes.

Keywords : Temporal lobe; epilepsy; electroencephalography; magnetic resonance image; temporal mesial sclerosis (MeSH).

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