Clinical Analysis Of28Cases Of Temporal Eepilepsy

[Objective]To discuss the clinical, electroencephalogram and imaging characteristics of temporal epilepsy.[Methods]28cases of the patients who had received Video-EEG checking in the hospital were analyzed of history, clinical manifestation, EEG and neuro-imaging.[Results]Among28patients,13cases (46.43%) of the patients onset under15years.17cases (60.71%) of the patients can find the causes, mainly including head injury, intracranial space occupying lesion, cerebrovascular diseases, hippocampal sclerosis and intracranial infection, etc.7cases (25.00%) of the patients have presymptom before the seizure, including the sense of dejavu, fear, sense of stomach gas rushed, dizziness, flustered, etc.15cases (53.57%) of the patients show complex partial seizures (CPS),10cases (35.71%) of the patients show automatism, such as repeated smacking, swallowing, chewing with nothing, feeling and griping with hands, etc. The detection rate of epileptiform discharges in the interictal period on Video-EEG is82.14%, and in the episode period is91.67%. The positive rate of MRI is46.15%, the imaging abnormalities mainly involve the hippocampal atrophy, hippocampus occupying lesions, abnormal signal in the hippocampus, soften focus in temporal lobe, temporo-occipital occupying lesions and temporoparietal ischemia infarct, etc.[Conclusion]The first-episode age of temporal epilepsy in childhood and adolescence is high. The main premonitory symptoms are a sense of dejavu, fear, and a sense of stomach gas rushed. The common attack type is CPS, oropharynx and hands automatism are the most common automatism. The detection rate of epileptiform discharges on Video-EEG is high, comprehensive analysis with clinical manifestation, Video-EEG and MRI can help accurately positioning epileptic foci.