Department of Neurology, Comprehensive Epilepsy Center, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
J Clin Neurophysiol. 2012 Oct;29(5):366-70. doi: 10.1097/WNP.0b013e31826bd78b.
Neocortical temporal lobe epilepsy (NTLE) comprises a heterogeneous group of epilepsies with focal seizures characterized by auditory, somatosensory, or psychic auras followed by motionless staring, early contralateral clonic activity often secondarily generalizing. Neurophysiologic findings in NTLE are typically a predominance of lateral temporal interictal epileptiform activity (IEA) and an ictal onset pattern consisting of irregular, hemispheric delta slowing. Advanced neurophysiologic techniques such as EEG and magnetoencephalography source imaging can help to determine the area generating the initial and propagated interictal and ictal activities and may limit the number of patients requiring long-term invasive recordings before epilepsy surgery.
新皮质颞叶癫痫（NTLE）是一组具有局灶性发作的异质性癫痫，发作特征为听觉、体感或精神先兆，随后出现凝视不动，早期对侧阵挛性活动，常继发全面性发作。NTLE 的神经生理学发现通常是外侧颞叶间发性癫痫样活动（IEA）的优势和发作起始模式，包括不规则的半球性德尔塔减速。高级神经生理学技术，如脑电图和脑磁图源成像，可以帮助确定产生初始和传播的间发性和发作性活动的区域，并可能限制需要长期侵入性记录的癫痫手术患者数量。
