Clinical Study

Somatosensory and Pharyngolaryngeal Auras in Temporal Lobe Epilepsy Surgeries

Table 2

Findings of presurgical work-up, surgical procedures performed, pathology results, and final outcomes in 11 patients with SSA and/or PVA.

Pt Risk factor MRI Ictal SPECTsEEGIntracranial electrode studyFirst surgerySecond surgery FU
(yrs)
OutcomeRe-investigationThird surgery Final outcome
Performed
(y/n)
CoverageFocus

1NoneR PT CavernomaNLLocNR cavernoma resection, corticectomyECoG, perilesional corticectomy4IIIaR post T, R T et lat inf, R H, R IR ATLIa
2FamL T pilocytic astrocytomaNLLocNL tumor resection1Ia (Rx)
3NoneR HSLocNR SAHR ATL including TO 1IIIaR I, residual TL, FPO, OF R insulectomyIa
4NoneR HSNLLocYR F, T, Pd, A, HR MTR ATL7IIb
5Encephalitis (6 months) residual R hemiparesis, mental retardationL HS, L hemisph atrophiaLLatYL H, L A, L subtemp ant post, L FTL MTL ATL9Ib
6NoneR HSLLocNR ATL8Ia (Rx)
7Viral encephalitis (8 months)L HALocNL ATL13Ia (No Rx)
8Encephalitis (8 months)R HANLLocYR H, R A, L HR MTR ATL13IIc
9Meningitis (12 months)L F, L T atrophia, L T gliosisNLYNAL MTL ATL4Ib
10NoneLatYR A, R H, R PT, R cingular gyrus ant, R SMA, L H, L cingular gyrus antR MTR ATL10Ia (No Rx)
11NoneL HSNLLatNL SAHL ATL (4 cm T1, 5 cm T2, 7 cm T3)1IIb

MRI: magnetic resonance imaging; sEEG: scalp EEG; Y: yes; N: no; SSA: somatosensory aura; F: frontal; T: temporal; P: parietal; O: occipital; A: amygdala; H: hippocampus; R: right; L: left; MT: mesial temporal lobe; FU: followup; Fam: family history of epilepsy; PT: posterior temporal; HS: hippocampal sclerosis; HA: hippocampal atrophy; Loc: localized; Lat: lateralized to hemisphere; SAH: selective amygdalohippocampectomy; ATL: anterior temporal lobectomy; ECoG: electrocorticography; TO: temporal operculum; TFG: temporal fusiform gyrus; I: insula; NL: nonlocalizing; hemisph: hemisphere; Rx: medication.