TABLE 1:

Clinical, MR imaging, and MRSI findings in patients with TLE

Patient/Age (y)/SexEpilepsy Clinical Lateralization and TypeMR ImagingMRSI LateralizationComment*
No CorrectionPulse Correction
1/9/ML TLEL T dysmyelinationNoneRSeizure-free without operation
2/10/FL TLEL hippocampal dysgenesis (possible)NoneNoneSeizure-free without operation
3/16/FL TLE, possible R FLENormalLLNo resection, VNS
4/16/FL TLEL MTSLLL TL resection, seizure-free
5/13/FR/L TLENormalLLNo operation, monthly seizures
6/17/FR/L TLER/L hamartomas (tuberous sclerosis)NoneRDaily seizures from R TL, rare from L TL, VNS
7/9/MR TLER hippocampal edemaNoneRNo operation, rare seizures
8/12/FR TLER MTSLLR TL resection, seizure-free
9/15/FR TLER hippocampus, smallLLR TL resection, seizure-free
10/15/MR TLESturge-Weber syndrome R TORRSeizure-free without operation
11/34/FR TLENormalNoneRR TL resection, seizure-free for 6 mo, postoperative seizures from L TL
12/9/FMultifocalR hippocampus, smallNoneNoneSeizures not from TL
13/14/ML TOEDysgenesis L TONoneNoneNone
14/15/MUndeterminedL hippocampus, abnormalNoneNoneNot operation, rare seizures
15/50/FR TLE or R FLENormalNoneNoneNot operation, monthly seizures
  • Note.—FLE = frontal lobe epilepsy, TOE = temporo-occipital epilepsy, MTS = mesial temporal sclerosis, TL = temporal lobe, VNS = vagal nerve stimulation.

  • * Rare seizures were fewer than one per 6 months.