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Hippocampal sclerosis and the syndrome of medial temporal lobe epilepsy

Pages 821-828 | Published online: 10 Jan 2014

References

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  • •Reports on the response to antiepileptic drug (AED) therapy in a large series of patients with mainly refractory epilepsy of many etiologies. It compares the response rate of patients with HS with those of groups of patients with other causes of their seizures.
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  • •Reports on the response to AED therapy in a large series of patients with epilepsy of many etiologies. However, a large percentage of the patients in this study are newly diagnosed and previously untreated. It also compares the response rate of patients with HS with those of groups of patients with other causes of their seizures.
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  • ••To date, the first randomized controlled trial comparing the efficacy and safety of surgical versus medical therapy in patients with refractory temporal lobe epilepsy (TLE) due to any cause (i.e., not all patients had HS). Landmark study in the understanding of the appropriate management of medically refractory TLE.
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  • •Editorial which provides an excellent discussion, with many references, of the experimental and clinical evidence supporting the concept that HS is a progressive disorder.
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  • •Uses a cross-sectional design to provide volumetric MRI, neuropathological and neuropsychological evidence that medically refractory HS is a progressive disorder.
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  • •Uses a longitudinal design to show progressive hippocampal atrophy in patients with medically refractory MTLE due to HS.
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  • ••landmark study demonstrates the success rateof AED therapy in a large group of newly diagnosed and previously untreated patients with all types of epilepsy It also established that patients with refractory epilepsy can be identified early and that years of AED treatment are not required to determine which patients are refractory
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  • •Describes the manifestations of refractory epilepsy and offers an approach for the logical and systematic management of patients with epilepsy.
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