Kuzniecky, RI; Jackson, GD
"Extra-temporal lobe epilepsy"
IN: Magnetic resonance in epilepsy : neuroimaging techniques / Kuzniecky, Ruben I; Jackson, Graeme D (Eds)
Burlington MA : Elsevier Academic, 2005
- The epilepsies arising from extratemporal lobe structures encompass a wide variety of clinico-electrophysiologic entities. Some are focal in nature, while others are hemispheric or more diffuse. This chapter discusses the magnetic resonance imaging (MRI) findings in patients with localization-related epilepsies arising from the frontal lobes. The chapter also focuses on epilepsies arising from the occipitoparietal region. The clinical, as well as the surgical experience, suggests that epilepsies arising from the occipitoparietal regions are difficult to localize from the clinical and electroencephalographic viewpoint. Many patients are not selected for surgery because of the poor localization of clinical and laboratory features. In most reported cases, structural lesions have been found on pathology in the occipitoparietal cortex. However, recent experiences suggest that many patients with these abnormalities and more subtle lesions can now be detected with MRI. The chapter concludes with a discussion on the pathology of occipitoparietal epilepsy.
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