Table 1.
Subject | Age (y) | Sex | Hand dominance | HS | Onset (y)/duration (y) | Seizure semiology | EEG ictal | Surgery | Surgery included 18[F]-FDG-PET temporal hypometabolism | Follow-up (m) | Outcome (Engel) |
Pathology |
---|---|---|---|---|---|---|---|---|---|---|---|---|
Anterior temporal hypometabolism | ||||||||||||
1 | 18 | M | R | L | 16/2 | Nonspecificaura → automotor sz | L ant T | ATR & AH | Complete | 57 | Ia | RA (ant), HS |
2 | 34 | F | R | L | 30/4 | Nonspecific aura → automotor sz (Postictal dysphasia) |
L ant T | ATR & AH | Complete | 41 | Ic | RA (ant), HS |
3 | 39 | M | R | L | 10/29 | Nonspecific aura → automotor sz (Ictal speech) |
L ant T | ATR & AH | Complete | 12 | Ia | RA (ant), HS |
4 | 56 | M | R | R | 47/9 | CPS/automotor sz (Postictal dysphasia) |
R ant T | ATR & AH | Complete | 19 | Ia | RA (ant) HS |
5 | 34 | F | L | R | 5/29 | Psychic aura → automotor sz → GTC sz | R ant T | ATR & AH | Complete | 55 | Ib | RA (ant), HS |
6 | 24 | F | R | R | 18/6 | Automotor sz | R ant T | ATR & AH | Complete | 42 | Ia | CD (amygdala) & HS |
7 | 44 | F | R | R | 16/28 | Nonspecific aura → automotor sz → GTC sz | R ant T | ATR & AH | Complete | 30 | Ia | RA (ant) HS |
Middle temporal hypometabolism | ||||||||||||
8 | 51 | F | R | L | 6/45 | Automotor sz (R dystonic arm; Postictal dysphasia) |
L post T | No | – | – | – | – |
9 | 60 | F | L | L | 3/57 | Automotor sz (Postictal aphasia) |
L ant/lat T | ATR & AH | Incomplete | 38 | Ia | CD type I (neoc) HS |
10 | 44 | F | R | L | 37/7 | CPS/Automotor sz → R versive → GTC sz (R dystonic arm, postictal aphasia) |
L ant/lat T | No | – | – | – | – |
11 | 39 | M | L | L | 20/19 | CPS → complex motor sz | L ant/lat T | ATR & AH | Incomplete | 47 | IIIa | CD type II (neoc), HS |
12 | 31 | F | R | L | 2/29 | Automotor sz (Ictal speech) |
L ant/lat T | ATR & AH | Complete | 16 | Ia | RA (ant), HS |
13 | 34 | F | R | L | 30/4 | Abdominal/psychic aura → CPS → GTC sz | L ant/lat T | ATR & AH | Incomplete | 41 | Id | CD type I (neoc) & HS |
14 | 35 | F | R | L | 16/19 | Nonspecific aura → automotor sz → R versive → GTC sz | L ant/lat T | No | – | – | – | – |
Posterior temporal hypometabolism | ||||||||||||
15 | 34 | M | R & L | L | 14/20 | Abdominal aura → automotor sz (Postictal aphasia) |
L ant/lat T | ATR & AH | Complete | 46 | Ia | RA (ant) HS |
16 | 20 | M | R | R | 3/17 | Nonspecific aura → automotor sz (Ictal speech) |
R ant/lat T | ATR & AH | Incomplete | 18 | Ib | RA (ant) HS |
17 | 41 | F | R | R | 9/32 | Abdominal aura → automotor sz | R ant/lat T | ATR & AH (extended) |
Complete | 29 | Ia | RA (ant) HS |
18 | 33 | F | R | R | 9/24 | CPS → GT sz (L dystonic arm, R nosewiping) |
R ant/lat T | ATR & AH (extended) |
Incomplete | 12 | Ia | RA (ant) HS |
19 | 34 | F | R | R | 9/25 | Abdominal aura → automotor sz | R ant/lat T | ATR & AH (extended) |
Incomplete | 30 | Ia | RA (ant), HS |
20 | 24 | M | L | R | 13/11 | Abdominal aura → automotor sz (L dystonic arm) |
R ant/lat T | ATR & AH | Incomplete | 53 | Ia | RA (ant) HS |
21 | 30 | M | R | R | 20/10 | Abdominal aura → automotor sz | R ant/lat T | ATR & AH | Incomplete | 37 | Ia | RA (ant), HS |
HS, hippocampal sclerosis; Y, years; M, months; Duration, duration of epilepsy; Onset, onset of epilepsy; Follow-up, postsurgical follow-up; F, female; M, male; L, left; R, right; Ant, anterior; Lat, lateral; T, temporal; CPS, complex partial seizure; Sz, seizure; GTC, generalized tonic–clonic seizure; ATR, anterior temporal resection; AH, amygdalohippocampectomy; CD, cortical dysplasia; Neoc, neocortex; RA, reactive astrocytosis.