How is mesial temporal sclerosis treated?
How is mesial temporal sclerosis treated?
Mesial temporal sclerosis treatments generally consist of managing the epilepsy symptom with the help of either anticonvulsant medication or, if medication is not effective, surgery. Surgical treatments for intractable epilepsy include a temporal lobectomy or vagal nerve stimulation.
What causes temporal lobe sclerosis?
The exact cause of mesial temporal sclerosis is still unclear. Some cases can result from injury to this part of the brain from prolonged febrile seizures. In other cases, a genetic susceptibility can play a role as well especially in cases where family members have had similar seizures.
Does NF cause seizures?
Studies show that NF1 is related to a generally increased prevalence of seizures that ranges between 4% and 10% [9–11]. Recent data from patients with NF1 and seizures show that the increased prevalence of epilepsy in this population is mainly due to intracranial NF1-related tumors [11–13].
Does mesial temporal sclerosis get worse?
In fact, 70 percent of temporal lobe epilepsy patients have some degree of mesial temporal sclerosis. It also appears that the mesial temporal sclerosis can be worsened by additional seizures.
What is mesial temporal lobe epilepsy?
Mesial temporal lobe epilepsy (MTLE) involves the medial or internal structures of the temporal lobe. Seizures often begin in a structure of the brain called the hippocampus or surrounding area. MTLE accounts for almost 80% of all temporal lobe seizures.
What is mesial sclerosis?
Mesial temporal sclerosis is the scarring and loss of neurons in the deepest portion of the temporal lobe. At Columbia Neurosurgery, our physicians are experts in surgically treating mesial temporal sclerosis with temporal lobectomy.
Can tuberous sclerosis cause epilepsy?
Epilepsy is the most common presenting symptom in tuberous sclerosis complex and is also the most common medical disorder in tuberous sclerosis complex. Up to 80 to 90% of individuals with tuberous sclerosis complex will develop epilepsy during their lifetime, with onset typically in childhood.
