In patients with subtle primary findings of unilateral mesial temporal sclerosis, these secondary imaging The surgery has a high success rate for eliminating seizures, and patients usually dont experience any new neurological symptoms. Some studies have found cases of temporal lobe epilepsy that runs in families, but no MTS was present in these cases. Gender, age at onset of epilepsy, history of trauma, infection, febrile convulsion, status epilepticus, mental retardation, handedness, consanguinity, side of hippocampal sclerosis, additional extrahippocampal temporal lesion, aura, seizures types, antiepileptic drugs, psychiatric disturbances and seizure frequency were noted. Because MTS is commonly associated with focal seizures affecting the temporal lobe, symptoms of this type of seizure may suggest that the condition is present. [1] Historically, "uncinate fits" were first described by Hughlings Jackson in the 19th Century linking seizures presenting as "dreamy states" to lesions in the uncus of the temporal lobe. Kotaro Sakurai, Data Availability: All relevant data are within the paper and its Supporting Information files. Funding: The authors have no support or funding to report. More patients with at least weekly seizures were found in Group 2 than in Group 1. Epileptic psychosis was defined as the presence of psychosis with hallucination-delusion, agitation, or aggression (so-called schizophrenia-like symptoms) during treatment for epilepsy. [1] Hippocampal sclerosis is a frequent pathologic finding in community-based dementia. The Radiology Assistant : Role of MRI A randomized, controlled trial of epilepsy surgery for patients with TLE-HS demonstrated a better outcome after surgery versus medical treatment [2,8]; indeed, the standard treatment plan for TLE-HS without seizure control by medication is surgical resection [9]. Another study showed that 21% of non-surgically treated patients with medically refractory, localization-related epilepsy were free from seizure after an average of 4.4 years from surgical evaluation [11].

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