Mesial temporal lobe seizures present sometimes with atypical clinical semiology, mainly in children. In these cases, like the one we discuss, video-EEG recordings and high-resolution MRI are mandatory, as restricted area of hippocampal gliosis and impairment of patient's report of his feelings during seizures involves a diagnostic delay. This is dangerous as far as outcome of patients is concerned, taken into account the evolutivity of hippocampal sclerosis. Early evidence of the pathology with an adequate drug therapy allows to show a probable pharmacoresistance, which eventually leads to surgical treatment. A case is presented concerning a young girl suffering from simple and complex focal seizures misdiagnosed as non epileptic seizures. Only video-EEG recordings and high-resolution MRI addressed to a correct diagnosis.
|Translated title of the contribution||Temporal lobe epilepsy: Diagnostic pitfalls of a young patient's ictal semiology|
|Number of pages||4|
|Journal||Bollettino - Lega Italiana contro l'Epilessia|
|Publication status||Published - Jul 2004|
ASJC Scopus subject areas
- Clinical Neurology