Temporal Lobe Epilepsy, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

by Kenneth Kee

Overview

This book describes Temporal Lobe Epilepsy, Diagnosis and Treatment and Related Diseases

Epilepsy is a brain disorder that induces changes in brain cell activity that lead to seizures, durations of unusual behavior or feelings, and in some patients a loss of consciousness.
Temporal lobe epilepsy (TLE) can be simple focal temporal seizures without loss of consciousness (with or without aura) or focal dyscognitive seizures (with loss of consciousness).
Loss of consciousness happens during a focal dyscognitive seizure when the seizure extends to involve both temporal lobes.

Temporal lobe epilepsy is one of 20 different types of epilepsy.
There are 2 main types of temporal lobe epilepsy.
Each is depicted by the part of the temporal lobe in which it begins.
1. One begins in the medial (inner) region of the temporal lobe
2. The other begins in the neocortical (side) region of the temporal lobe.
The brain’s temporal lobes take care of emotions and also assist with the processing and storage of short-term memories.
Temporal lobe epileptic seizures can further categorized.
1. If there is a loss of consciousness, they are termed complex partial seizures.
2. If the patient remains conscious, they are termed simple partial seizures.
In most cases, people stay conscious during temporal lobe seizures, making the TLE simple partial seizures.

Of all types of epilepsy, temporal lobe epilepsy is most frequent.
It involves about 60 percent of all people with epilepsy and can happen at any age.
There are many possible causes, and often the precise cause is not known.
Doctors believe some possible causes of temporal lobe seizures are:
1. Severe traumatic brain injury
2. Infections or a history of infections like meningitis or encephalitis
3. Scarring (gliosis) in the hippocampus part of the temporal lobe
4. Blood vessel deformities in the brain
5. Stroke
6. Brain tumors
7. Genetics
8. Abnormal electrical activity in the brain

Risk Factors
The most frequent risk factor for temporal lobe epilepsy is having had a seizure, particularly an extraordinarily long-lasting seizure, with a fever at some period in life.
Other risk factors for temporal lobe epilepsy are:
1. Head trauma with loss of consciousness
2. Early childhood injuries
3. Birth injuries
4. Brain defects
5. Vascular malformations (i.e. arteriovenous malformation, cavernous angioma).
5. Past infections – (e.g., herpes encephalitis or bacterial meningitis)
6. Brain tumors
a. Hamartomas.
b. Gliomas.
7. Head injury producing contusion or hemorrhage that causes encephalomalacia or cortical scarring.
8. Cryptogenic: a cause is presumed but has not been diagnosed.
9. Idiopathic (rare).
Hippocampal sclerosis induces a medical syndrome termed mesial temporal lobe epilepsy, which happens in late childhood, then remits but recurs in adolescence or early adulthood in a refractory form.
Febrile seizures: some children with complex febrile seizures seem to be at risk of developing TLE in later life.

Aura happens in the majority of temporal lobe seizures.
Most auras and automatisms persist a very short period - seconds or 1 to 2 minutes.
Auras may produce sensory, autonomic or psychic symptoms:
1. Somatosensory and special sensory phenomena:
2. Olfactory, auditory and gustatory illusions and hallucinations may happen
3. Vertigo may occur with seizures in the posterior superior temporal gyrus.
4. Psychic phenomena:
5. Autonomic phenomena: changes in heart rate and sweating.

MRI and EEG are the tests of choice in diagnosis of temporal lobe epilepsy

Most people with temporal lobe epilepsy respond well to anti-epileptic drugs.
Surgery is another frequent treatment for temporal lobe epilepsy

TABLE OF CONTENT
Introduction
Chapter 1 Temporal Lobe Epilepsy
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment
Chapter 6 Prognosis
Chapter 7 Seizures
Chapter 8 Psychogenic Seizure
Epilogue

Product Details

BN ID:	2940163419753
Publisher:	Kenneth Kee
Publication date:	12/16/2019
Sold by:	Smashwords
Format:	eBook
File size:	168 KB

About the Author

Medical doctor since 1972. Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009. Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993. Dr Kenneth Kee is still working as a family doctor at the age of 70. However he has reduced his consultation hours to 3 hours in the morning and 2 hours in the afternoon. He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com. His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com This autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com. From which many free articles from the blog was taken and put together into 1000 eBooks. He apologized for typos and spelling mistakes in his earlier books. He will endeavor to improve the writing in futures. Some people have complained that the simple guides are too simple. For their information they are made simple in order to educate the patients. The later books go into more details of medical disorders. He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter. The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks. He does not do any night duty since 2000 ever since Dr Tan had his second stroke. His clinic is now relocated to the Buona Vista Community Centre. The 2 units of his original clinic are being demolished to make way for a new Shopping Mall. He is now doing some blogging and internet surfing (bulletin boards since the 1980's) starting with the Apple computer and going to PC. The entire PC is upgraded by himself from XT to the present Pentium duo core. The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive. He is also into DIY changing his own toilet cistern and other electric appliance. His hunger for knowledge has not abated and he is a lifelong learner. The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned. This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale. Dr Kee is the author of: "A Family Doctor's Tale" "Life Lessons Learned From The Study And Practice Of Medicine" "Case Notes From A Family Doctor"