Usefulness of StereoEEG-based tailored surgery for medial temporal lobe epilepsy. Preliminary results in 11 patients

Medial temporal lobe epilepsy (MTLE) typically shows hippocampal atrophy or hippocampal high signal intensity, on fluid attenuated inversion recovery (FLAIR) sequences acquired through magnetic resonance imaging (MRI) [1,2]. There is also a typical semiological progression from rising epigastric sensations to motor manifestations, which may include automatism or behavioral arrest [3]. In terms of etiology, hippocampal sclerosis is likely to be the underlying pathological substrate [4]; however, coexistent additional epileptogenic lesions have been reported, including focal cortical dysplasia and neuroepithelial tumors in other regions [5 –7].

Source: Clinical Neurology and Neurosurgery - May 1, 2017 Category: Neurosurgery Authors: Yuichi Kubota, Taku Ochiai, Tomokatsu Hori, Takakazu Kawamata Source Type: research