Temporal lobe epilepsy: Difference between revisions

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{{SI}}
{{Infobox medical condition
| name                    = Temporal lobe epilepsy
| image                  = [[File:Lobes_of_the_brain_NL.svg|250px]]
| caption                = The temporal lobe is highlighted in red.
| field                  = [[Neurology]]
| symptoms                = [[Seizures]], [[aura (symptom)|auras]], [[memory loss]], [[déjà vu]], [[jamais vu]]
| onset                  = Typically [[childhood]] or [[adolescence]]
| duration                = [[Chronic (medicine)|Chronic]]
| types                  = [[Mesial temporal lobe epilepsy]], [[Neocortical temporal lobe epilepsy]]
| causes                  = [[Brain injury]], [[infections]], [[genetic factors]]
| risks                  = [[Family history]], [[head trauma]], [[febrile seizures]]
| diagnosis              = [[Electroencephalography|EEG]], [[Magnetic resonance imaging|MRI]]
| differential            = [[Other types of epilepsy]], [[psychogenic non-epileptic seizures]]
| treatment              = [[Anticonvulsant|Anticonvulsants]], [[surgery]], [[vagus nerve stimulation]]
| prognosis              = Varies; some achieve [[seizure control]], others may have [[intractable epilepsy]]
| frequency              = Common
}}
'''Temporal lobe epilepsy''' ('''TLE''') is a chronic neurological condition characterized by recurrent, unprovoked [[seizure]]s originating in the temporal lobe of the brain. It is the most common form of focal (or partial) [[epilepsy]] and represents approximately 60 percent of all patients with epilepsy.
'''Temporal lobe epilepsy''' ('''TLE''') is a chronic neurological condition characterized by recurrent, unprovoked [[seizure]]s originating in the temporal lobe of the brain. It is the most common form of focal (or partial) [[epilepsy]] and represents approximately 60 percent of all patients with epilepsy.
== Symptoms ==
== Symptoms ==
The symptoms experienced during a seizure will depend on the specific area of the brain where the seizure begins. In TLE, seizures often involve feelings of fear, anxiety, or a sense of déjà vu. Other symptoms can include sensory changes, such as visual disturbances or changes in hearing, smell, taste, or touch.
The symptoms experienced during a seizure will depend on the specific area of the brain where the seizure begins. In TLE, seizures often involve feelings of fear, anxiety, or a sense of déj√† vu. Other symptoms can include sensory changes, such as visual disturbances or changes in hearing, smell, taste, or touch.
 
== Causes ==
== Causes ==
TLE is often associated with a brain abnormality, such as [[hippocampal sclerosis]], which is a specific pattern of hippocampal cell loss. Other causes can include brain injury, infection, or abnormal blood vessels. However, in many cases, the cause of TLE is unknown.
TLE is often associated with a brain abnormality, such as [[hippocampal sclerosis]], which is a specific pattern of hippocampal cell loss. Other causes can include brain injury, infection, or abnormal blood vessels. However, in many cases, the cause of TLE is unknown.
== Diagnosis ==
== Diagnosis ==
Diagnosis of TLE typically involves a detailed medical history and neurological examination, as well as tests such as an [[electroencephalogram]] (EEG) to measure electrical activity in the brain, and imaging studies such as [[magnetic resonance imaging]] (MRI) to identify any structural abnormalities.
Diagnosis of TLE typically involves a detailed medical history and neurological examination, as well as tests such as an [[electroencephalogram]] (EEG) to measure electrical activity in the brain, and imaging studies such as [[magnetic resonance imaging]] (MRI) to identify any structural abnormalities.
== Treatment ==
== Treatment ==
Treatment for TLE typically involves medication to control seizures. In some cases, surgery may be considered if medication is not effective.
Treatment for TLE typically involves medication to control seizures. In some cases, surgery may be considered if medication is not effective.
== Prognosis ==
== Prognosis ==
The prognosis for individuals with TLE varies. Some individuals may have good seizure control with medication, while others may continue to have seizures despite treatment.
The prognosis for individuals with TLE varies. Some individuals may have good seizure control with medication, while others may continue to have seizures despite treatment.
 
==Gallery==
<gallery>
File:CajalHippocampus_(modified).png|Cajal's drawing of the hippocampus
File:Hippocampus-mri.jpg|MRI image of the hippocampus
File:PET_Normal_brain.jpg|PET scan of a normal brain
File:Epilepsy-surgery-in-progress.jpg|Surgery in progress for epilepsy treatment
File:Vagus_nerve_stimulation.jpg|Vagus nerve stimulation device
File:Peds_DBS.jpg|Deep Brain Stimulation (DBS) in pediatrics
</gallery>
== See also ==
== See also ==
* [[Epilepsy]]
* [[Epilepsy]]
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* [[Electroencephalogram]]
* [[Electroencephalogram]]
* [[Magnetic resonance imaging]]
* [[Magnetic resonance imaging]]
[[Category:Neurological disorders]]
[[Category:Neurological disorders]]
[[Category:Epilepsy]]
[[Category:Epilepsy]]
{{stub}}
{{stub}}
<gallery>
File:Lobes_of_the_brain_NL.svg|Diagram showing the lobes of the brain
File:CajalHippocampus_(modified).png|Cajal's drawing of the hippocampus
File:Hippocampus-mri.jpg|MRI image of the hippocampus
File:PET_Normal_brain.jpg|PET scan of a normal brain
File:Epilepsy-surgery-in-progress.jpg|Surgery in progress for epilepsy treatment
File:Vagus_nerve_stimulation.jpg|Vagus nerve stimulation device
File:מערכת_RNS.jpg|Responsive Neurostimulation System (RNS)
File:Peds_DBS.jpg|Deep Brain Stimulation (DBS) in pediatrics
</gallery>

Latest revision as of 06:28, 6 April 2025

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC

Temporal lobe epilepsy
Synonyms N/A
Pronounce N/A
Specialty N/A
Symptoms Seizures, auras, memory loss, déjà vu, jamais vu
Complications N/A
Onset Typically childhood or adolescence
Duration Chronic
Types Mesial temporal lobe epilepsy, Neocortical temporal lobe epilepsy
Causes Brain injury, infections, genetic factors
Risks Family history, head trauma, febrile seizures
Diagnosis EEG, MRI
Differential diagnosis Other types of epilepsy, psychogenic non-epileptic seizures
Prevention N/A
Treatment Anticonvulsants, surgery, vagus nerve stimulation
Medication N/A
Prognosis Varies; some achieve seizure control, others may have intractable epilepsy
Frequency Common
Deaths N/A


Temporal lobe epilepsy (TLE) is a chronic neurological condition characterized by recurrent, unprovoked seizures originating in the temporal lobe of the brain. It is the most common form of focal (or partial) epilepsy and represents approximately 60 percent of all patients with epilepsy.

Symptoms[edit]

The symptoms experienced during a seizure will depend on the specific area of the brain where the seizure begins. In TLE, seizures often involve feelings of fear, anxiety, or a sense of déj√† vu. Other symptoms can include sensory changes, such as visual disturbances or changes in hearing, smell, taste, or touch.

Causes[edit]

TLE is often associated with a brain abnormality, such as hippocampal sclerosis, which is a specific pattern of hippocampal cell loss. Other causes can include brain injury, infection, or abnormal blood vessels. However, in many cases, the cause of TLE is unknown.

Diagnosis[edit]

Diagnosis of TLE typically involves a detailed medical history and neurological examination, as well as tests such as an electroencephalogram (EEG) to measure electrical activity in the brain, and imaging studies such as magnetic resonance imaging (MRI) to identify any structural abnormalities.

Treatment[edit]

Treatment for TLE typically involves medication to control seizures. In some cases, surgery may be considered if medication is not effective.

Prognosis[edit]

The prognosis for individuals with TLE varies. Some individuals may have good seizure control with medication, while others may continue to have seizures despite treatment.

Gallery[edit]

See also[edit]

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