Ictal video-electroencephalography monitoring in presurgical evaluation for intractable temporal lobe epilepsy in 15 cases
- VernacularTitle:发作期录像脑电监测在15例难治性颞叶癫痫患者术前定位中的价值
- Author:
Liri JIN
;
Liwen WU
;
Wei GAO
- Publication Type:Journal Article
- Keywords:
Epilepsy,temporal lobe;
Seizures;
Electroencephalography
- From:
Chinese Journal of Neurology
2001;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the value of ictal video-electroencephalography monitoring (IVEEG) in presurgical evaluation for medically intractable nonlesional temporal lobe epilepsy(TLE). Methods The data of presurgical evaluation and postsurgical follow-up from 15 patients with intractable TLE were retrospectively analyzed.Results In this selected patients group, all 15 patients manifested clinically seizures during long term VEEG monitoring, with initial rhythmic activity from one side of temporal lobe in 13 cases. Of these 13 patients, the side of initial ictal focal pattern was concordant with the side of anterior temporal lobectomy or selective amygdalohippocampectomy in all cases and excellent postsurgical outcome were attained in 11 patients.Conclusion IVEEG monitoring may not only help to confirm the diagnosis and seizure type(s),but also more important to correctly localize the side of epileptogenic region in most patients with intractable TLE.
