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Doctor insights on: Mesial Temporal Sclerosis

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Does temporal lobe epilepsy cause dyscalucia .

Does temporal lobe epilepsy cause dyscalucia .

Coexisting: There may be coexisting problems of Temporal Lobe epilepsy and dyscalculia. Unlikely to be a cause and effect relationship ...Read more

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Dr. Lois Freisleben-Cook
3 doctors shared insights

Sclerosis (Definition)

We neurologists employ the term to describe localized damage involving the central nervous system, and sclerosis means scarring. If in many areas, might be multiple sclerosis. If affecting the motor nerve cell, ...Read more


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Can somebody describe temporal lobe epilepsy?

Need more words: Simple and complex focal epilepsy are difficult to diagnose, ; represent 40% of all epilepsies. Presentation varies from small motor tics, unusual perceptual disturbances, time-distortion, derealization, panic-like sxs, compulsive behaviors, catatonic variants, atypical aggressive outbursts, obsessions, and much more. See a specialist in 1) epilepsy or 2) behavioral neurology ; neuropsych. ...Read more

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Could temporal lobe epilepsy contribute towards schizophrenia?

Could temporal lobe epilepsy contribute towards schizophrenia?

No: But I have encountered several patients incorrectly diagnosed with schizophrenia who were instead suffering from undiagnosed and untreated focal epilepsy (TLE). Focal epilepsy can be very hard to spot, particularly if temporal or on undersurface of the brain. Continuous videotelemetry EEG (EMU) are key, though I have picked up several on routine EEG. ...Read more

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Is amyotrophic lateral sclerosis a type of multiple sclerosis (ms)?

Is amyotrophic lateral sclerosis a type of multiple sclerosis (ms)?

Not similar diseases: Als is very different, and is a disease of "mis-folded proteins" like alzheimers and parkinson's, and all of these affect older people. Ms is an autoimmune disease afflicting younger patients who have hereditary susceptibilities and environmental exposures. Ms can be successfully treated and controlled, but ALS does not respond well to current therapies. ...Read more

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What is amyotrophic lateral sclerosis (als)? 

What is amyotrophic lateral sclerosis (als)? 

Motor neuron disease: A disorder of misfolded proteins, attacking nerve cell bodies in spinal cord and brain. Tends to involve weakness not numbness, and can affect legs and arms with flickering of muscles, loss of muscle mass, and evenually problems with breathing and swallowing. Unfortunately, there is no cure, and it preserves awareness. Gratefully, it is relatively rare. ...Read more

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Frontal-temporal stroke. Does that involve broca's?

Frontal-temporal stroke. Does that involve broca's?

It could: A fronto-temporal stroke can involve the broca's region if it is on the dominant side of the brain. Most people's broca's (speech production center) is on the left. So a left fronto-temporal stroke can involve the broca's in the majority of people. ...Read more

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Do people with temporal lobe epilepsy have Alzheimer's later?

Do people with temporal lobe epilepsy have Alzheimer's later?

Great question: Boston is a great town to keep track of this. This is a very sophisticated question. There are rare cases of "tle" in which an autoimmune encephalitis seems to be causitive. Some cases of autoimmune encephalitis are not monophasic, and can recur, with cumulative neuronal injury. It is possible but yet unknown if alzheimer-type pathology (amyloid plaques) would be accelerated in such cases. ...Read more

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What happens if someone with mesial temporal sclerosis (mts) does not want anterior temporal lobectomy?

What happens if someone with mesial temporal sclerosis (mts) does not want anterior temporal lobectomy?

Depends...: If you're seizure-free, surgery is generally not indicated anyway. If not seizure-free, sometimes different needs can be more effective...though MTS does tend to lead to intractable epilepsy. Another option might be a vagal nerve stimulator. You need to discuss all options with your epileptologist carefully. IMO, risks of ATL are overblown. Biggest "risk" in my book: not 100% become seizure-free. ...Read more

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Frontal lobe epilepsy like deja vu?

Frontal lobe epilepsy like deja vu?

Distorted memory: Deja vu is a false feeling of familiarity. It occurs when one feels that a situation or location is familiar even though it hasn't been previously experienced. It can be thought of as a brief malfunction of the memory system where the timing of the event gets assigned as if it occurred in the past making it seem like an old memory. It occurs more commonly in temporal lobe epilepsy. ...Read more

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Autosomal dominant nocturnal frontal lobe epilepsy?

Autosomal dominant nocturnal frontal lobe epilepsy?

Seizures at night: A genetic form of epilepsy with onset in childhood, associated with clusters of seizures most nights, during sleep. Seizures are from the frontal lobe and often involve wild movements of the arms and legs. Need to try prevent injury from seizures. Treatable condition with antiseizure medications, but often difficult to control completely. Sometimes improves in adulthood. ...Read more

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Frontal lobe epilepsy deja vu?

Distorted memory: Deja vu is a false feeling of familiarity. It occurs when one feels that a situation or location is familiar even though it hasn't been previously experienced. It can be thought of as a brief malfunction of the memory system where the timing of the event gets assigned as if it occurred in the past making it seem like an old memory. It occurs more commonly in temporal lobe epilepsy. ...Read more

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MRI brain results Impression- there is cerebral atrophy with subcortical WMC, consistent wit microangiopathic disease, demyelination, or giliosis?

MRI brain results  Impression- there is cerebral atrophy with subcortical WMC, consistent wit microangiopathic disease, demyelination, or giliosis?

Covering the bases: That signal that is seen in patients who age is seen very frequently. Most of the time it is what has become known as microangiopathic disease or small vessel disease. Demyelination and gliosis come with a more notable history. Gliosis or scarring and demyelination also produces symptoms that MRI is useful for. Depends on why you had the MRI in the first place. The first entity more common than 2 ...Read more

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Autosomal dominant risk for nocturnal frontal lobe epilepsy?

Nocturnal seizures: Adfle is an epileptic disorder that causes frequent, violent seizures during sleep. These seizures often involve complex motor movements. Vocalizations such as shouting, moaning or crying are also common. Adfle is often diagnosed as nightmares. Attacks often occur in clusters and typically begin in childhood. ...Read more

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Can temporal lobe epilepsy be cured?

Cured?: In the hands of an epilepsy specialized neurologist and a specialty trained neurosurgeon, it can be a well treated condition if the focus is truly in the medial temporal lobe and it can be resected. Only those specialists can tell you if the disease is treatable or possibly without symptoms- cured is the difficult word. ...Read more

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Multiple sclerosis = demyelination?

Multiple sclerosis = demyelination?

Characteristic: Demyelination refers to damage to the coverings of the nerves in the brain and spinal cord, and is very characteristic of the inflammatory process that occurs in ms. This can also occur in children with hereditary leukodystrophies, and can be associated with acquired neurological disorders. The disease modifying drugs in MS are designed to control demyelination and many work well. ...Read more

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Will temporal lope epilepsy cause hypersexuality?

Will temporal lope epilepsy cause hypersexuality?

No.: There is no association between these conditions. One is neither the cause nor associated with the other. A distinct injury to the temporal lobe could conceivably result in both conditions, this would be very unlikely however. ...Read more

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Temporal mandibular joint dysfunction same as tmi?

Temporal mandibular joint dysfunction same as tmi?

Yes: Tmj is a layman's term, and refers to the joint itself. Tm dysfunction involves the joint and it's internal structures as well as external ones, the surrounding musculature and fascia of the face, neck, shoulders and back? It can becaused by a bad bite and is related to posture, vertebral alignment and head position as well. Also, it's associated with tooth clenching and grinding and migraines. ...Read more

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My mother, 84, MRI scan> subacute infarcts, bilateral frontal lobes, small vessel ischematic changes inthe basal ganglia, periventricular white matter?

My mother, 84, MRI scan> subacute infarcts, bilateral frontal lobes, small vessel ischematic changes inthe basal ganglia, periventricular white matter?

Small vessel disease: Mri in a 84 years old lady showing infarcts and small vessel disease means she is having ministrokes. That is very common in that age group. If she has heart disease or carotid artery disease or risk factors like high BP or diabetes or high lipids they should be controlled and she should follow up with her dr who can give her further recommendations. ...Read more

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What is bitemporal epilepsy?

What is bitemporal epilepsy?

Both sides: Epilepsy where seizures arise from both temporal lobes in a person. (Not typically at the same time.) ...Read more