Abstract
The histories of 67 patients with medial temporal lobe seizures controlled by temporal lobectomy at a mean age of 27 years were evaluated at Yale University and Epilepsy Center, West Haven CT; Graduate Hospital, Philadelphia; Dartmouth-Hitchcock Medical Center; and VA Center, White River Junction, VT.
Highlights
The histories of 67 patients with medial temporal lobe seizures controlled by temporal lobectomy at a mean age of 27 years were evaluated at Yale University and Epilepsy Center, West Haven CT; Graduate Hospital, Philadelphia; Dartmouth-Hitchcock Medical Center; and VA Center, White River Junction, VT
Forty-five (67%) had histories of febrile seizures without CNS infection before 5 years of age, and of these, 33 had complex febrile seizures which lasted longer than 30 minutes
Seizures had become progressively worse over time in 22 patients before surgery
Summary
The histories of 67 patients with medial temporal lobe seizures controlled by temporal lobectomy at a mean age of 27 years were evaluated at Yale University and Epilepsy Center, West Haven CT; Graduate Hospital, Philadelphia; Dartmouth-Hitchcock Medical Center; and VA Center, White River Junction, VT. Forty-five (67%) had histories of febrile seizures without CNS infection before 5 years of age, and of these, 33 had complex febrile seizures which lasted longer than 30 minutes. Other risk factors included head trauma (10%), and birth trauma (3%).
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