Non-invasive examinations successfully select patients with medical temporal lobe epilepsy for anterior temporal lobectomy

T. Morioka, S. Nishio, T. Kawamura, K. Fukui, Masayuki Sasaki, M. Fukui

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

We retrospectively analyzed 8 patients with intractable medial temporal lobe epilepsy (MTLE) who underwent the anterior temporal lobectomy with hippocampectomy (ATL) without invasive examinations such as chronic subdural electrode recording. Five patients had a history of febrile convulsion. While all 8 patients had oral automatism, automatism of ipsilateral limbs with dystonic posture of contralateral limbs was demonstrated in 2 patients. Bilateral temporal paroxysmal activities on interictal EEG was observed in 4 patients and all patients had clear ictal onset zone on unilateral anterior temporal region. MRI demonstrated unilateral hippocampal sclerosis in 5 cases. Interictal FDG-PET depicted hypometabolism of the unilateral temporal lobe in all cases, however, ECD-SPECT failed to reveal the hypoperfusion of the unilateral temporal lobe in a case. Postoperatively, 7 cases became seizure free, and one had rare seizure. Non-invasive examinations, especially ictal EEG and concordant FDG-PET findings, in patients with oral automatism in seizure semiology, successfully select patients with MTLE for ATL.

Original languageEnglish
Pages (from-to)559-565
Number of pages7
JournalBrain and Nerve
Volume53
Issue number6
Publication statusPublished - Jul 7 2001

Fingerprint

Anterior Temporal Lobectomy
Temporal Lobe Epilepsy
Automatism
Temporal Lobe
Seizures
Electroencephalography
Extremities
Stroke
Febrile Seizures
Sclerosis
Single-Photon Emission-Computed Tomography
Posture
Electrodes

All Science Journal Classification (ASJC) codes

  • Neuroscience(all)

Cite this

Non-invasive examinations successfully select patients with medical temporal lobe epilepsy for anterior temporal lobectomy. / Morioka, T.; Nishio, S.; Kawamura, T.; Fukui, K.; Sasaki, Masayuki; Fukui, M.

In: Brain and Nerve, Vol. 53, No. 6, 07.07.2001, p. 559-565.

Research output: Contribution to journalArticle

Morioka, T. ; Nishio, S. ; Kawamura, T. ; Fukui, K. ; Sasaki, Masayuki ; Fukui, M. / Non-invasive examinations successfully select patients with medical temporal lobe epilepsy for anterior temporal lobectomy. In: Brain and Nerve. 2001 ; Vol. 53, No. 6. pp. 559-565.
@article{93b63f2b988340a4b5c4bec91839bf65,
title = "Non-invasive examinations successfully select patients with medical temporal lobe epilepsy for anterior temporal lobectomy",
abstract = "We retrospectively analyzed 8 patients with intractable medial temporal lobe epilepsy (MTLE) who underwent the anterior temporal lobectomy with hippocampectomy (ATL) without invasive examinations such as chronic subdural electrode recording. Five patients had a history of febrile convulsion. While all 8 patients had oral automatism, automatism of ipsilateral limbs with dystonic posture of contralateral limbs was demonstrated in 2 patients. Bilateral temporal paroxysmal activities on interictal EEG was observed in 4 patients and all patients had clear ictal onset zone on unilateral anterior temporal region. MRI demonstrated unilateral hippocampal sclerosis in 5 cases. Interictal FDG-PET depicted hypometabolism of the unilateral temporal lobe in all cases, however, ECD-SPECT failed to reveal the hypoperfusion of the unilateral temporal lobe in a case. Postoperatively, 7 cases became seizure free, and one had rare seizure. Non-invasive examinations, especially ictal EEG and concordant FDG-PET findings, in patients with oral automatism in seizure semiology, successfully select patients with MTLE for ATL.",
author = "T. Morioka and S. Nishio and T. Kawamura and K. Fukui and Masayuki Sasaki and M. Fukui",
year = "2001",
month = "7",
day = "7",
language = "English",
volume = "53",
pages = "559--565",
journal = "Brain and Nerve",
issn = "0006-8969",
publisher = "Igaku-Shoin Ltd",
number = "6",

}

TY - JOUR

T1 - Non-invasive examinations successfully select patients with medical temporal lobe epilepsy for anterior temporal lobectomy

AU - Morioka, T.

AU - Nishio, S.

AU - Kawamura, T.

AU - Fukui, K.

AU - Sasaki, Masayuki

AU - Fukui, M.

PY - 2001/7/7

Y1 - 2001/7/7

N2 - We retrospectively analyzed 8 patients with intractable medial temporal lobe epilepsy (MTLE) who underwent the anterior temporal lobectomy with hippocampectomy (ATL) without invasive examinations such as chronic subdural electrode recording. Five patients had a history of febrile convulsion. While all 8 patients had oral automatism, automatism of ipsilateral limbs with dystonic posture of contralateral limbs was demonstrated in 2 patients. Bilateral temporal paroxysmal activities on interictal EEG was observed in 4 patients and all patients had clear ictal onset zone on unilateral anterior temporal region. MRI demonstrated unilateral hippocampal sclerosis in 5 cases. Interictal FDG-PET depicted hypometabolism of the unilateral temporal lobe in all cases, however, ECD-SPECT failed to reveal the hypoperfusion of the unilateral temporal lobe in a case. Postoperatively, 7 cases became seizure free, and one had rare seizure. Non-invasive examinations, especially ictal EEG and concordant FDG-PET findings, in patients with oral automatism in seizure semiology, successfully select patients with MTLE for ATL.

AB - We retrospectively analyzed 8 patients with intractable medial temporal lobe epilepsy (MTLE) who underwent the anterior temporal lobectomy with hippocampectomy (ATL) without invasive examinations such as chronic subdural electrode recording. Five patients had a history of febrile convulsion. While all 8 patients had oral automatism, automatism of ipsilateral limbs with dystonic posture of contralateral limbs was demonstrated in 2 patients. Bilateral temporal paroxysmal activities on interictal EEG was observed in 4 patients and all patients had clear ictal onset zone on unilateral anterior temporal region. MRI demonstrated unilateral hippocampal sclerosis in 5 cases. Interictal FDG-PET depicted hypometabolism of the unilateral temporal lobe in all cases, however, ECD-SPECT failed to reveal the hypoperfusion of the unilateral temporal lobe in a case. Postoperatively, 7 cases became seizure free, and one had rare seizure. Non-invasive examinations, especially ictal EEG and concordant FDG-PET findings, in patients with oral automatism in seizure semiology, successfully select patients with MTLE for ATL.

UR - http://www.scopus.com/inward/record.url?scp=0034979410&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0034979410&partnerID=8YFLogxK

M3 - Article

C2 - 11436341

AN - SCOPUS:0034979410

VL - 53

SP - 559

EP - 565

JO - Brain and Nerve

JF - Brain and Nerve

SN - 0006-8969

IS - 6

ER -