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 Temporal Lobe Epilepsy

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Masoud



Points : 31927
Join date : 2014-11-03

PostSubject: Temporal Lobe Epilepsy   Sun Nov 16, 2014 12:53 am

A female who often feels detached from world, mumbles something for few seconds and then become normal. What is the most appropriate next
step in reaching diagnosis?

a. Ask her relatives about her history
b. EEG video-telemetry
c. CT
d. MRI
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Masoud



Points : 31927
Join date : 2014-11-03

PostSubject: Re: Temporal Lobe Epilepsy   Sun Nov 16, 2014 1:05 am

Temporal Lobe Epilepsy
• Interictal EEG: one third of patients with temporal lobe epilepsy (TLE) have bilateral, independent, temporal interictal epileptiform abnormalities
MRI is the neuro-imaging investigation of choice.
Positron emission tomography (PET) using radioisotope fluorodeoxyglucose (18F) (FDG-PET) is useful when the MRI result is normal.
Single-photon emission computed tomography (SPECT) is useful for candidates for surgical intervention.
Video-EEG telemetry is used as part of the pre-surgical evaluation. It is also used if the diagnosis of TLE is still uncertain.
http://www.patient.co.uk/doctor/Temporal-Lobe-Epilepsy.htm

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