What Is Temporal Lobe Epilepsy?

The firing or damage of neurons that cause seizures affects localized epilepsy, in whole or in part, in the temporal lobe. This form of epilepsy includes basic sensory (listening, smelling, or taste) or motor (twisting or aphasia) attacks, but also mental (psychic seizures), mental sensations (illusions or hallucinations) or psychomotor (automatic Seizures).

Basic Information

English name

temporallobeepilepsy, TLE

Visiting department

Neurology

Common symptoms

Speech disorders, memory disorders, recognition disorders, affective disorders, illusions, hallucinations

Contagious

no

Clinical manifestations of temporal lobe epilepsy

Temporal lobe seizures are the result of brain dysfunction, often with conscious disturbances, and are more common in complex parts. The clinical manifestations are:

Language barrier

Partial aphasia or repeated language;

Memory impairment

A sense of acquaintance or acquaintance, or a feeling of being unfamiliar with familiar things, or a quick recall of things that have been experienced in the past;

3. Identify the obstacles

Including dream-like state, distortion of time perception, unrealism, separation state;

4. Affective disorder

Manifested as a very pleasant or unpleasant feeling during the episode, with a strong depression with a sense of inferiority or abandonment;

5. illusion

It is manifested in changes in the size, distance and appearance of conscious objects;

6. hallucinations

That is, there can be changes in sight, hearing, taste, sense of space, and imaging of objects without any external changes.

This type of attack is characterized by conscious disturbances, which are manifested on the basis of sensory and motor symptoms and more complex symptoms, such as disturbances of consciousness, mental symptoms, etc. These symptoms can occur individually or in succession, or they can spread to form a major attack. termination.

Temporal lobe epilepsy

1. EEG examination.

2. Imaging examination.

3. Pathological examination.

Temporal Lobe Epilepsy Treatment

Drug treatment

Drug selection can be performed with reference to the general principles of epilepsy treatment, and sodium valproate can be selected for psychomotor episodes. Most temporal lobe epilepsy can be controlled with drugs.

2. Surgical treatment

Temporal lobe epilepsy is a more common type of epilepsy, and some cases become intractable epilepsy with ineffective regular medical treatment. In some strictly selected cases, surgical treatment can achieve good results. The main surgical methods include anterior temporal lobectomy and selective hippocampal amygdaloidectomy.

Prevention of temporal lobe epilepsy

Patients and their families must treat the disease correctly, build confidence to overcome the disease, maintain optimism, avoid anger and emotional stimulation, and eliminate fear and inferiority.

It is not advisable to drink strong tea, coffee and exciting drinks. No smoking and alcohol. Due to the sudden loss of consciousness during a seizure, an appropriate occupation should be selected. It is not appropriate to operate machinery, drive, wading, climb, touch electrical appliances, poisons and flammable and explosive materials.