Brain Research Institute, Melbourne, Australia.
Epilepsia. 2010 Sep;51(9):1906-9. doi: 10.1111/j.1528-1167.2010.02537.x.
Temporal lobe epilepsy (TLE) is not a unitary electroclinical imaging syndrome. We asked if seizures arising from the parahippocampal-inferior temporal (PIT) region differ from those associated with hippocampal sclerosis (HS). The electroclinical features of 22 patients with HS and 14 patients with lesions in the PIT region who underwent epilepsy surgery and were seizure free for at least 2 years postoperatively were analyzed retrospectively. Patients with PIT lesions had a higher frequency of hypermotor and bilateral features and a lower frequency of behavioral arrest at the onset of seizure compared to cases with HS, suggesting that TLE originating in the PIT area can mimic frontal lobe epilepsy or contralateral mesial TLE.
颞叶癫痫（TLE）不是单一的电临床成像综合征。我们想知道起源于海马旁回-下颞区（PIT）的发作与那些与海马硬化（HS）相关的发作是否不同。回顾性分析了 22 例 HS 和 14 例 PIT 病变患者的电临床特征，这些患者均接受了癫痫手术，术后至少 2 年无癫痫发作。与 HS 病例相比，PIT 病变患者发作起始时出现多动和双侧特征的频率更高，行为中止的频率更低，这表明起源于 PIT 区的 TLE 可能模仿额叶癫痫或对侧内侧 TLE。
