Landazuri Patrick
Neurodiagn J. 2014 Sep;54(3):274-88. doi: 10.1080/21646821.2014.11106809.
Mesial temporal lobe epilepsy is a common subtype of temporal lobe epilepsy. Its most common cause is hippocampal sclerosis, which contributes to its distinct electroclinical phenotype that is seen commonly in the epilepsy monitoring unit setting. The common electrophysiological data show anterior temporal interictal sharp waves as well as rhythmic theta activity in the same localization. While the electrophysiological data can at times be misleading, its stereotyped and characteristic semiology can often allow for accurate diagnosis on its own. As patients with mesial temporal lobe epilepsy often fail medical therapy, surgical therapy can be considered. Early accurate diagnosis in these patients is essential for optimal care.
内侧颞叶癫痫是颞叶癫痫的一种常见亚型。其最常见的病因是海马硬化，这导致了其独特的电临床表型，在癫痫监测单元环境中很常见。常见的电生理数据显示颞叶前部发作间期棘波以及同一部位的节律性θ活动。虽然电生理数据有时可能会产生误导，但其刻板且具有特征性的症状学往往能够独立进行准确诊断。由于内侧颞叶癫痫患者通常药物治疗无效，可考虑手术治疗。对这些患者进行早期准确诊断对于优化治疗至关重要。
