ĐẶC ĐIỂM LÂM SÀNG VÀ HÌNH ẢNH CỘNG HƯỞNG TỪ SỌ NÃO Ở BỆNH NHÂN ĐỘNG KINH THÙY THÁI DƯƠNG

Abstract

Objective: Describe clinical characteristics and brain magnetic resonance imaging in patients with temporal lobe epilepsy. Subjects and methods: Descriptive cross-sectional study on 47 temporal lobe epilepsy patients at Bach Mai Hospital from 07/2021 to 08/2023. Results: The mean age of the study group was 42.15±18.35. The age at first onset is the age group over 50 years old, accounting for 36,2%. Clinical manifestations of epilepsy are diverse, partial seizures and generalized seizures have approximately the same rate, of which generalized seizures account for 48,9%. The frequency of monthly seizures is the highest, accounting for 87,2%. The most common aura symptoms are epigastric (25,5%), autonomic (27,7%), and psychiatric signs (21,3%). The most common symptom during epileptic seizures is impairment of consciousness (52,1%). The most postictal confusion is memory disorder, accounting for 40,4%. The most commonly detected lesions on brain magnetic resonance imaging are hippocampal atrophy (31,9%), encephalitis (11%). Conclusion: Temporal lobe epilepsy have diverse clinical manifestations. Most patients have aura symptoms before the seizure and the most symptom ictal seizure is impairment of consciousness. The most common postictal confusion is memory disorder. The most commonly detected lesion on brain magnetic resonance imaging is hippocampal atrophy.