Clinical Study on Temporal Lobe Epilepsy in Childhood Caused by Temporal Lobe Space Occupying Lesions
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- Matsuura Mariko
- Departments of Pediatrics Tokyo Women's Medical University
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- Oguni Hirokazu
- Departments of Pediatrics Tokyo Women's Medical University
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- Funatsuka Makoto
- Departments of Pediatrics Tokyo Women's Medical University
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- Osawa Makiko
- Departments of Pediatrics Tokyo Women's Medical University
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- Yamane Fumitaka
- Neurosurgery, Tokyo Women's Medical University
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- Hori Tomokatsu
- Neurosurgery, Tokyo Women's Medical University
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- Shimizu Hiroyuki
- Department of Neurosurgery, Tokyo Metropolitan Neurological Hospital
Bibliographic Information
- Other Title
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- 小児期の占拠性病変に伴う側頭葉てんかんの臨床研究
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Abstract
We studied the clinicoelectrical and neuroimaging features of 11 patients with symptomatic temporal lobe epilepsy (TLE) caused by temporal lobe space occupying lesions (SOLs), and compared its characteristics with those of 19 mesial TLE (MTLE) patients. Brain MRI demonstrated SOLs in the mesiotemporal lobe in 9, and laterotemporal lobe in the remaining 2 patients. Ten of the 11 patients successfully underwent surgery, which revealed tumors in 7 and focal cortical dysplasia in 3 patients. Comparisons of the clinical features between those with SOTLE and MTLE showed that both conditions shared the same clinical seizure manifestations such as gastric uprising sensation or ictal fear and a favorable response to surgery. However, the patients with SOTLE had fewer febrile convulsion, and more frequent seizure recurrences as well as TLE EEG discharges and associations of the monophasic clinical course than those with MTLE. In addition, the MRI findings were characterized by unilateral hippocampal atrophy in MTLE and expanding or SOLs in the SOTLE group. Children with complex partial seizures of suspected temporal lobe origin should undergo extensive neuroimaging evaluation.
Journal
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- NO TO HATATSU
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NO TO HATATSU 40 (3), 249-254, 2008
THE JAPANESE SOCIETY OF CHILD NEUROLOGY
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Details 詳細情報について
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- CRID
- 1390282679530225152
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- NII Article ID
- 130004068357
- 10021943161
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- NII Book ID
- AN0020232X
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- ISSN
- 18847668
- 00290831
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed