EEG in Mesial Temporal Lobe Epilepsy

It is important to recognize Mesial Temporal Lobe Epilepsy and seizures. In this tutorial I review 2 patients with MTLE and their investigations. Follow me on twitter

[kisansamugsa]

Thank you very much for this tutorial.

[segvanmohammed-uc]

Hello Dear Doctor
Many thanks indeed for your valuable tutorials, I would like to ask you how we can detect epileptic discharge during sleep specially in children
Regards

[travelsteps]

Really informative, For UAE, Sheikh Khalifa Medical City Abu Dhabi do epilepsy surgery

[ramprasadpokhrel]

Im suffering from a kind of difficulty or unpleasant discomfort attack since 10 year. The difficulty attack start suddenly and remain till the 30 to 1 minute and slowly I feels relief and becomes normal, I have never unconscious during that difficulty attack but feels really to much difficulty which I cannot explain in words. During that attack time, I can feel everything normally as what I feels in the normal condition, Can talk, my body every part function normally, even I can travel on bike, I never unconscious. After MRI and EEG doctor has given me 2 medicine now Im taking 2 medicine one is Clobazam and Lacosamide but still problem/attack happens daily some day 2/3 or more attack also, no improvement by medicine. What the difficulty I have mentioned above that doesn't detect by EEG in other normal condition even long 4 hour EEG Test after medicine stopped 2/3 days ago before EEG, only fortunately 2 time had detected by normal 1 hour EEG, during EEG test such attack happened and EEG detected abnormal sharp wave discharge from temporal lobe region and MRI report show

1.Ring shaped cortical/subcortical lesion with eccentric dot and blooming on SWI and calcification on phase images in the left hippocampal with minimal surrounding edema. Findings represent calcified granuloma most likely related to neurocysticercosis. Other diagnostic consideration is tuberculosis.

2. Volume loss and no definite increased signal of left hippocampus as compared to the right with slight dilation of left temporal horn. Both mammillary bodies are unremarkable. Findings are concerning for left mesial temporal sclerosis. Doctor suggest me for So many time EEG test for see seizure condition but normal EEG never able to detect anything, only detect abnormal sharp wave if attack happen during EEG test so, So many time doctor confuse and declare that attack is Anxiety attack.

[SKY]

Please someone tell me what is the difference between background activity and posterior dominant rhythm.

Is it the same or not?

Because most of the reports mentioned that

Background shows normal apha rhythm. So whats the meaning of it he doesn't mentioned posterior head region in that report?

And
Some of technicians write that

background show normal rhythmic activity, 8-10hz as a posterior dominant rhythm.

So in this case he mentioned background and posterior dominant rhythm separately.

So please help me while interpretation what is the meaning of this background activity and posterior dominant rhythm

[roshanbodile]

Thank you for providing nice case study.... Can explain effect of multiple seizures on heart rate?

[mayankbardia]

How to differentiate MTLE with HSV encephalitis on the basis of EEG?

[Heddyconfetti]

My EEG described the delta activity left temporal slowing as "frequent." What is the clinical significance of that vs. intermittent?

[Integritysave]

Hello sir can you upload practically eeg
Plz 🙏🙏

[drsudhanshugupta]

Which center in India does this surgery

[Surya-uosd]

Is auto immune encephalitis has a cure?

[heatherrichardson]

Is it possible to have Epilepsy and a normal EEG

[AJ-ekht]

Hey, I want to be your patient… where are you located? can you email me or message through WhatsApp? I need help with my epilepsy. I feel also spaced out throughout the day, and feeling the aura throughout the day, it’s gets heavier each time. I feel like I’m having the wrong medication however my neurologist ignore me and pressure me to use the same medication even though I tell him it’s not helping me.