Table of Contents
ISRN Neurology
Volume 2013 (2013), Article ID 148519, 7 pages
http://dx.doi.org/10.1155/2013/148519
Clinical Study

Somatosensory and Pharyngolaryngeal Auras in Temporal Lobe Epilepsy Surgeries

1Division of Neurosurgery, Notre Dame Hospital, University of Montreal Medical Center (CHUM), Montreal, QC, Canada
2Division of Neurology, Notre Dame Hospital, University of Montreal Medical Center (CHUM), 1560 Rue Sherbrooke Est, Montreal, QC, Canada H2L 4M1

Received 18 April 2013; Accepted 8 May 2013

Academic Editors: C.-M. Chen, C.-Y. Hsu, K. W. Lange, L. Manni, T. Mezaki, and K. R. Pennypacker

Copyright © 2013 Alexander G. Weil et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. Somatosensory (SSA) and pharyngolaryngeal auras (PLA) may suggest an extratemporal onset (e.g., insula, second somatosensory area). We sought to determine the prognostic significance of SSA and PLA in temporal lobe epilepsy (TLE) patients undergoing epilepsy surgery. Methods. Retrospective review of all patients operated for refractory TLE at our institution between January 1980 and July 2007 comparing outcome between patients with SSA/PLA to those without. Results. 158 patients underwent surgery for pharmacoresistant TLE in our institution. Eleven (7%) experienced SSA/PLA as part of their seizures. All but one had lesional (including hippocampal atrophy/sclerosis) TLE. Compared to patients without SSA or PLA, these patients were older , had a higher prevalence of early ictal motor symptoms and prior CNS infection , and were less likely to have a localizing SPECT study . A favorable outcome was achieved in 81.8% of patients with SSA and/or PLA and 90.4% of those without SSA or PLA . Conclusion. Most patients with pharmacoresistant lesional TLE appear to have a favorable outcome following temporal lobectomy, even in the presence of SSA and PLA.