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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2000-11-20
pubmed:abstractText
The number of patients undergoing surgical treatment for pharmacoresistant temporal lobe epilepsy is rapidly increasing. While there have been many clinicopathological studies concerning the medial structures of the temporal lobe in temporal lobe epilepsy, its lateral structures have received little attention. To examine the nature and frequency of lateral temporal lobe abnormalities that occur in temporal lobe epilepsy, 22 patients who underwent standard anterior temporal lobectomy with hippocampectomy for intractable temporal lobe epilepsy were studied. The mean ages at the onset of seizure and at surgery were 15.9 years and 27.7 years, respectively. The electroclinically determined epileptogenic zones were the medial structures of the temporal lobe in 16 patients and the lateral in six. There was histologic evidence of hippocampal sclerosis in 12 of the 16 patients with medial onset seizures and in three of the six patients with lateral onset seizures. The lateral structures of the temporal lobe showed variable degrees of histological abnormalities in 21 patients. Among these abnormalities, heterotopic white matter neurons were observed in six of the 16 medial patients and in all the lateral patients. Glial changes were also common abnormalities, and often glial fibrillary acidic protein (GFAP)-positive astrocytes were present over the entire temporal lobe. In addition to hippocampal sclerosis, cerebral microdysgenesis and gliosis in the lateral structures of the temporal lobe may have a significant role in epileptogenesis of temporal lobe epilepsy.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
0344-5607
pubmed:author
pubmed:issnType
Print
pubmed:volume
23
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
84-9
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
2000
pubmed:articleTitle
Temporal lobe epilepsy: a clinicopathological study with special reference to temporal neocortical changes.
pubmed:affiliation
shunji@ns.med.kyushu-u.ac.jp
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't