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Temporal Lobe Seizure
Aka: Temporal Lobe Seizure, Temporal Lobe Epilepsy, Psychomotor Seizure
- See Also
- Complex Seizure
- Epidemiology
- Most common complex Seizure
- Pathophysiology
- Starts in Temporal Lobe
- Frontal Lobe commonly involved
- Symptoms
- Complex and variable
- Aura may be present
- Gastrointestinal symptoms
- Fear
- Signs
- Motionless stare heralds Seizure
- Consciousness is always impaired
- Automatisms
- Oral facial moves
- Fumbling or picking movements
- Duration: 30 seconds to 2 minutes
- May progress to Generalized Tonic Clonic Seizure
- Differential diagnosis
- Absence Seizure (typical or atypical)
- Behavioral disturbance
- Migraine Headache
- Management
- Medications (60-70% response rate)
- Carbamazepine (Tegretol)
- Phenytoin (Dilantin)
- Surgery: Temporal Lobe Resection
- Indicated for failed medical therapy after 1-2 years
- Efficacy
- Better TLE Seizure control than with anticonvulsant
- Wiebe (2001) N Engl J Med 345:311-8 [PubMed]