Epilepsy of the temporal lobe is associated with the activity of the temporal brain

Ref: Abel TJ,et al.J Neurosurg.
 2018 Jul;129 (1):165-173doi: 10.3171/2017.3.JNS162821Epub 2017 Oct 13:temporal lobe epilepsy (TLE) is a common type of refractive epilepsy, which can be controlled by surgeryAt present, clinical studies have found that the temporal pole (TP) plays an important role in the occurrence and spread of temporal lobe epilepsy, but the mechanism is not clear, so there is a dispute as to whether epilepsy in the temporal lobe should be removed at the same timeTaylor JAbel of Neurosurgery at the University of Iowa Hospital in the United States used an intraoperative electroencephalogram to assess the role of the temporal pole in the onset of refractive temporal lobe epilepsy, published in The July 2018 issue of J Neurosurgthe study included 10 patients with refractive temporal lobe epilepsy, which covered the temporal pole (ECoG) and located the eclampsia zone (Figures 1, 2) to remove the patient's cerebrothemal and hippocampus amygdalaRetrospective analysis of clinical data, including ECoG, neuroimaging images, pathological results, and clinical prognosisIt was found that 7 cases (70%) of patients were involved in seizures, and TP discharge was visible during the seizure period, and 1 case of TP was an early abnormal e-brain distribution regionThe above data show that the temporal cortex plays a vital role in the seizure network of temporal lobe epilepsySeizures and preoperative imaging abnormalities are not necessarily related, according to preoperative imaging performance or inter-seizure electroencephalic activity, and can not predict the role of the temporal pole in seizures in advance Therefore, the role and importance of TP need to be fully taken into account when planning the tLE cut range Figure 1 Position of the electrode situated in the front temporal lobe (ATL) A.23 guide ATL electrode array schematic; B the photo in the operation represents the placement of the array, including the ATL array; and C X-ray tablets implanted in patients with ATL arrays Figure 2 A Anatomical maps of the abdominal side of the brain show an array of cortical electrodes implanted in the field Pentastar represents the site of the seizure (TP06) B EEG scans recorded by the TP and reflux cortex and deep electrodes of the amygdala, hippocampus, and cymnea (STS) s-seconds (First Hospital of Fuzhou Serena compiled, Fudan University affiliated Huashan Hospital Huashan Professor review, "Outside the God Information" editor-in-chief, Fudan University affiliated Huashan Hospital
Chen Rongcheng Professor Final Review) related links