Computed tomography in temporal lobe epilepsy

Forty patients who had intractable temporal lobe epilepsy had surgery for treatment of their seizures following study by computed tomography (CT). Fifteen of 19 patients with tumors had good correlation between CT and pathological findings. Another group of patients had macroscopic changes that were...

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Veröffentlicht in:Journal of computer assisted tomography 1984-06, Vol.8 (3), p.401-405
Hauptverfasser: BLOM, R. J, VINUELA, F, FOX, A. J, BLUME, W. T, GIRVIN, J, KAUFMANN, J. C. E
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container_end_page 405
container_issue 3
container_start_page 401
container_title Journal of computer assisted tomography
container_volume 8
creator BLOM, R. J
VINUELA, F
FOX, A. J
BLUME, W. T
GIRVIN, J
KAUFMANN, J. C. E
description Forty patients who had intractable temporal lobe epilepsy had surgery for treatment of their seizures following study by computed tomography (CT). Fifteen of 19 patients with tumors had good correlation between CT and pathological findings. Another group of patients had macroscopic changes that were demonstrated on CT and verified at surgery. Sixteen patients had microscopic pathological diagnoses including cytoarchitectural abnormalities, Chaslin gliosis, and ectopic neurons. Six of these had enlarged temporal horns on the ipsilateral and five on the contralateral side to the electroencephalographic-pathological abnormality. In the investigation of temporal lobe epilepsy we believe that CT, especially with the newer generation scanners, records tumors and other larger macroscopic changes but that temporal horn size is unreliable in predicting the abnormal side if only microscopic changes are present.
doi_str_mv 10.1097/00004728-198406000-00005
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subjects Adolescent
Adult
Biological and medical sciences
Brain - diagnostic imaging
Brain - pathology
Brain Neoplasms - complications
Brain Neoplasms - diagnostic imaging
Cerebral Angiography
Child
Epilepsy, Temporal Lobe - complications
Epilepsy, Temporal Lobe - diagnostic imaging
Epilepsy, Temporal Lobe - surgery
Female
Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy
Humans
Male
Medical sciences
Nervous system (semeiology, syndromes)
Neurology
Oligodendroglioma - complications
Oligodendroglioma - diagnostic imaging
Tomography, X-Ray Computed
title Computed tomography in temporal lobe epilepsy
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