Patterns of seizure control in patients with mesial temporal lobe epilepsy with and without hippocampus sclerosis
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Arquivos de neuro-psiquiatria (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2015000200079 |
Resumo: | Objective Patients with mesial temporal lobe epilepsy (MTLE) may present unstable pattern of seizures. We aimed to evaluate the occurrence of relapse-remitting seizures in MTLE with (MTLE-HS) and without (MTLE-NL) hippocampal sclerosis. Method We evaluated 172 patients with MTLE-HS (122) or MTLE-NL (50). Relapse-remitting pattern was defined as periods longer than two years of seizure-freedom intercalated with seizure recurrence. “Infrequent seizures” was considered as up to three seizures per year and “frequent seizures” as any period of seizures higher than that. Results Thirty-seven (30%) MTLE-HS and 18 (36%) MTLE-NL patients had relapse-remitting pattern (X2, p = 0.470). This was more common in those with infrequent seizures (X2, p < 0.001). Twelve MTLE-HS and one MTLE-NL patients had prolonged seizure remission between the first and second decade of life (X2, p = 0.06). Conclusion Similar proportion of MTLE-HS or MTLE-NL patients present relapse-remitting seizures and this occurs more often in those with infrequent seizures. |
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Arquivos de neuro-psiquiatria (Online) |
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Patterns of seizure control in patients with mesial temporal lobe epilepsy with and without hippocampus sclerosisepilepsytemporal lobeseizure Objective Patients with mesial temporal lobe epilepsy (MTLE) may present unstable pattern of seizures. We aimed to evaluate the occurrence of relapse-remitting seizures in MTLE with (MTLE-HS) and without (MTLE-NL) hippocampal sclerosis. Method We evaluated 172 patients with MTLE-HS (122) or MTLE-NL (50). Relapse-remitting pattern was defined as periods longer than two years of seizure-freedom intercalated with seizure recurrence. “Infrequent seizures” was considered as up to three seizures per year and “frequent seizures” as any period of seizures higher than that. Results Thirty-seven (30%) MTLE-HS and 18 (36%) MTLE-NL patients had relapse-remitting pattern (X2, p = 0.470). This was more common in those with infrequent seizures (X2, p < 0.001). Twelve MTLE-HS and one MTLE-NL patients had prolonged seizure remission between the first and second decade of life (X2, p = 0.06). Conclusion Similar proportion of MTLE-HS or MTLE-NL patients present relapse-remitting seizures and this occurs more often in those with infrequent seizures. Academia Brasileira de Neurologia - ABNEURO2015-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2015000200079Arquivos de Neuro-Psiquiatria v.73 n.2 2015reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/0004-282X20140199info:eu-repo/semantics/openAccessCoan,Ana CarolinaCampos,Brunno M.Bergo,Felipe P.GKubota,Bruno Y.Yasuda,Clarissa L.Morita,Marcia E.Guerreiro,Carlos A.MCendes,Fernandoeng2015-02-23T00:00:00Zoai:scielo:S0004-282X2015000200079Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2015-02-23T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse |
dc.title.none.fl_str_mv |
Patterns of seizure control in patients with mesial temporal lobe epilepsy with and without hippocampus sclerosis |
title |
Patterns of seizure control in patients with mesial temporal lobe epilepsy with and without hippocampus sclerosis |
spellingShingle |
Patterns of seizure control in patients with mesial temporal lobe epilepsy with and without hippocampus sclerosis Coan,Ana Carolina epilepsy temporal lobe seizure |
title_short |
Patterns of seizure control in patients with mesial temporal lobe epilepsy with and without hippocampus sclerosis |
title_full |
Patterns of seizure control in patients with mesial temporal lobe epilepsy with and without hippocampus sclerosis |
title_fullStr |
Patterns of seizure control in patients with mesial temporal lobe epilepsy with and without hippocampus sclerosis |
title_full_unstemmed |
Patterns of seizure control in patients with mesial temporal lobe epilepsy with and without hippocampus sclerosis |
title_sort |
Patterns of seizure control in patients with mesial temporal lobe epilepsy with and without hippocampus sclerosis |
author |
Coan,Ana Carolina |
author_facet |
Coan,Ana Carolina Campos,Brunno M. Bergo,Felipe P.G Kubota,Bruno Y. Yasuda,Clarissa L. Morita,Marcia E. Guerreiro,Carlos A.M Cendes,Fernando |
author_role |
author |
author2 |
Campos,Brunno M. Bergo,Felipe P.G Kubota,Bruno Y. Yasuda,Clarissa L. Morita,Marcia E. Guerreiro,Carlos A.M Cendes,Fernando |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Coan,Ana Carolina Campos,Brunno M. Bergo,Felipe P.G Kubota,Bruno Y. Yasuda,Clarissa L. Morita,Marcia E. Guerreiro,Carlos A.M Cendes,Fernando |
dc.subject.por.fl_str_mv |
epilepsy temporal lobe seizure |
topic |
epilepsy temporal lobe seizure |
description |
Objective Patients with mesial temporal lobe epilepsy (MTLE) may present unstable pattern of seizures. We aimed to evaluate the occurrence of relapse-remitting seizures in MTLE with (MTLE-HS) and without (MTLE-NL) hippocampal sclerosis. Method We evaluated 172 patients with MTLE-HS (122) or MTLE-NL (50). Relapse-remitting pattern was defined as periods longer than two years of seizure-freedom intercalated with seizure recurrence. “Infrequent seizures” was considered as up to three seizures per year and “frequent seizures” as any period of seizures higher than that. Results Thirty-seven (30%) MTLE-HS and 18 (36%) MTLE-NL patients had relapse-remitting pattern (X2, p = 0.470). This was more common in those with infrequent seizures (X2, p < 0.001). Twelve MTLE-HS and one MTLE-NL patients had prolonged seizure remission between the first and second decade of life (X2, p = 0.06). Conclusion Similar proportion of MTLE-HS or MTLE-NL patients present relapse-remitting seizures and this occurs more often in those with infrequent seizures. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-02-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2015000200079 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2015000200079 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0004-282X20140199 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
dc.source.none.fl_str_mv |
Arquivos de Neuro-Psiquiatria v.73 n.2 2015 reponame:Arquivos de neuro-psiquiatria (Online) instname:Academia Brasileira de Neurologia instacron:ABNEURO |
instname_str |
Academia Brasileira de Neurologia |
instacron_str |
ABNEURO |
institution |
ABNEURO |
reponame_str |
Arquivos de neuro-psiquiatria (Online) |
collection |
Arquivos de neuro-psiquiatria (Online) |
repository.name.fl_str_mv |
Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologia |
repository.mail.fl_str_mv |
||revista.arquivos@abneuro.org |
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1754212777788964864 |