Patterns of seizure control in patients with mesial temporal lobe epilepsy with and without hippocampus sclerosis.
Arq Neuropsiquiatr
; 73(2): 79-82, 2015 Feb.
Article
en En
| MEDLINE
| ID: mdl-25742574
ABSTRACT
OBJECTIVE:
Patients with mesial temporal lobe epilepsy (MTLE) may present unstable pattern of seizures. We aimed to evaluate the occurrence of relapse-remitting seizures in MTLE with (MTLE-HS) and without (MTLE-NL) hippocampal sclerosis.METHOD:
We evaluated 172 patients with MTLE-HS (122) or MTLE-NL (50). Relapse-remitting pattern was defined as periods longer than two years of seizure-freedom intercalated with seizure recurrence. "Infrequent seizures" was considered as up to three seizures per year and "frequent seizures" as any period of seizures higher than that.RESULTS:
Thirty-seven (30%) MTLE-HS and 18 (36%) MTLE-NL patients had relapse-remitting pattern (X2, p = 0.470). This was more common in those with infrequent seizures (X2, p < 0.001). Twelve MTLE-HS and one MTLE-NL patients had prolonged seizure remission between the first and second decade of life (X2, p = 0.06).CONCLUSION:
Similar proportion of MTLE-HS or MTLE-NL patients present relapse-remitting seizures and this occurs more often in those with infrequent seizures.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Convulsiones
/
Epilepsia del Lóbulo Temporal
/
Hipocampo
Tipo de estudio:
Observational_studies
Límite:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Arq Neuropsiquiatr
Año:
2015
Tipo del documento:
Article
País de afiliación:
Brasil