University of Khartoum

The Clinical, Electroencephalographic And Mri Findings In Patients With Temporal Lobe Epilepsy

The Clinical, Electroencephalographic And Mri Findings In Patients With Temporal Lobe Epilepsy

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Title: The Clinical, Electroencephalographic And Mri Findings In Patients With Temporal Lobe Epilepsy
Author: Yahia, Noon
Abstract: A total of 33 patients with temporal lobe epilepsy who were seen in out patient clinics in Khartoum area in the period between June 2004-February 2005 were studied. The aim of the study was to determine the clinical patterns, EEG &MRI findings of temporal lobe epilepsy among Sudanese patients. The data were collected through a questionnaire containing detailed medical history, thorough physical examination and specific investigations including electroencephalogram and brain MRI. The pattern was as follows: Most of the study group population were between (16 – 30) years. However the age of onset was in childhood period. Males (54.5%) were more affected than females. Aura (87.9%) was common in patients with TLE .Most of patients had complex partial seizure & (33.3%)of patients had secondary generalization.(9.1%)had cranial nerves palsies ,(15.2%) had symptoms of increased intra-cranial pressure and (15.2%) had weakness.(15.2%)had past history of febrile convulsions.(9.1%)gave a past history of meningitis or encephalitis.(27.3%) gave a family history of epilepsy.Inter-ictal EEG was abnormal in (81.8%).MRI was abnormal in (27.3%), however hippocampal sclerosis was found in just (3.0%). VI So we concluded that most of our study population were young adults . TLE can affect both sexes. Here males were affected more than females. Aura was a common finding in patients with TLE. Most of patients had complex partial seizure. Some of patients had secondary generalization. Presence of focal neurological symptoms & signs raise the possibility of structural abnormality. Febrile convulsions and central nervous system infection during childhood were risk factors for developing TLE. Most of the study group had abnormalities in their inter-ictal EEG. Small number of patients showed abnormalities in their MRI. So ,we recommend to do a full clinical assessment ,EEG &brain MRI for all patients with TLE ,also to treat febrile convulsions in children to prevent TLE to occur in later life.
URI: http://khartoumspace.uofk.edu/handle/123456789/8731
Date: 2015-04-09


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