Medical Journal of Mashhad university of Medical Sciences

Medical Journal of Mashhad university of Medical Sciences

Electroencephalographic findings of focal epilepsy resistant to treatment of internal and external temporal lobes

Document Type : Research Paper

Authors
Sepehr Eslami 1
Mina Shakery 2
1 Department of Orthopedics, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
2 department of pathology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
10.22038/mjms.2019.14171
Abstract
Abstract
Introduction: Epilepsy is one of the most common diseases in the brain. Determination and comparison of changes in the electroencephalographic pattern in the ictal and intercetal phases of patients with epilepsy of the internal temporal lobe and epilepsy caused by other lesions outside the temporal lobe (neocortex).
Materials and Methods: this cross-sectional study was conducted on 80 patients with internal and external temporal lobe epilepsy. Then, EEG monitoring was performed and EEG results were compared in two groups of internal and external temporal epilepsy.
Results: There was no significant difference in the type of seizure, history of tumor or trauma or hypoxia, duration of seizure between two groups of patients (internal and external temporal lobe epilepsy) (P>0.05). The location of the beginning of the ictal wave in 52.5% of the patients was in the left temporal region and the beginning of the ictal wave in 58.75% of the patients was Slow wave, and there was no significant difference between the two groups regarding the location and wave of the beginning of the ictal.
Conclusion: According to the results, EEG is an appropriate method for the detection of temporal lobe epilepsy, but it does not help to differentiate the type of internal and external temporal epilepsy. To distinguish between these epilepsy, EEG alone is not helpful and requires other diagnostic methods.
Keywords
focal epilepsy resistant to treatment
EEG
mesial temporal lobe epilepsy

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Medical Journal of Mashhad university of Medical Sciences
Volume 62, Issue 3
July and August 2019
Pages 1514-1523